Active NPI
View Point Fairmont Village LLC
- Assisted Living Facility
- Peoria, AZ
National Provider Identifier
1750915872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL11352C | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2177977 | View Point Fairmont Village, LLC | Certificate of waiver | Jan 22, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.