NPIMap

Organization Active NPI

Rosarian Assisted Living

  • Assisted Living Facility
  • Glendale, AZ
National Provider Identifier
1750668778
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8502H Issued in AZ
Legal business name
ROSARIAN ASSISTED LIVING
Practice address
6309 W Mescal St
Glendale, AZ 85304-4609
Phone
(623) 486-2631
Fax
(623) 486-2631
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Fely Fernandez Tabor
Title
Manager/ Owner
Phone
(623) 326-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8502H AZ Primary

Addresses

Primary practice location

6309 W Mescal St
Glendale, AZ 85304-4609

Mailing address

6309 W Mescal St
Glendale, AZ 85304-4609
Phone (623) 486-2631

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1750668778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 W MESCAL ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853044609",
            "telephone_number": "623-486-2631",
            "fax_number": "623-486-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 W MESCAL ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853044609",
            "telephone_number": "623-486-2631",
            "fax_number": "623-486-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSARIAN ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "FELY",
        "authorized_official_middle_name": "FERNANDEZ",
        "authorized_official_title_or_position": "MANAGER/ OWNER",
        "authorized_official_telephone_number": "623-326-8850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8502H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.