Organization Active NPI

View Point Fairmont Village LLC

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1750915872
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VIEW POINT FAIRMONT VILLAGE LLC
Practice address
10401 N 79TH Ave
Peoria, AZ 85345-0742
Phone
(623) 526-8600
Fax
(623) 533-5399
NPI assigned
Feb 27, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Sean Mockbee
Title
Sole Member
Phone
(623) 526-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10401 N 79TH Ave
Peoria, AZ 85345-0742

Mailing address

10401 N 79TH Ave
Peoria, AZ 85345-0742
Phone (623) 526-8600

Other identifiers 1

IdentifierTypeStateIssuer
AL11352COtherAZARIZONA DEPARTMENT OF HEALTH SERVICES

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2177977View Point Fairmont Village, LLC10401 N 79TH Ave, Peoria, AZ 85345Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1750915872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 N 79TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853450742",
            "telephone_number": "623-526-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 N 79TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853450742",
            "telephone_number": "623-526-8600",
            "fax_number": "623-533-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIEW POINT FAIRMONT VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "MOCKBEE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "623-526-8600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "AL11352C",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.