NPIMap

Organization Active NPI

Hacienda del Rey MSL LLC, Dba Hacienda del Rey

  • Assisted Living Facility
  • Litchfield Park, AZ
National Provider Identifier
1750857371
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HACIENDA DEL REY MSL LLC, DBA HACIENDA DEL REY
Practice address
12917 W Las Cruces Dr
Litchfield Park, AZ 85340-5194
Phone
(623) 498-8682
NPI assigned
Oct 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Jeff Fischer
Title
President
Phone
(949) 242-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12917 W Las Cruces Dr
Litchfield Park, AZ 85340-5194

Mailing address

4 Park PLZ Ste 400
Irvine, CA 92614-2507
Phone (949) 242-1469

National Provider Directory

National Provider Directory
Tax ID family
Hacienda del Rey MSL LLC Dba Hacienda del Rey3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1750857371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK PLZ STE 400",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926142507",
            "telephone_number": "949-242-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12917 W LAS CRUCES DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405194",
            "telephone_number": "623-498-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA DEL REY MSL LLC, DBA HACIENDA DEL REY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-242-1480"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.