Organization Active NPI

Mae's Place

  • Case Manager/Care Coordinator
  • Surprise, AZ
National Provider Identifier
1760233902
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MAE'S PLACE
Doing business as
Maes Place
Practice address
13619 W Boca Raton Rd
Surprise, AZ 85379
Phone
(480) 913-4882
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Lakeysha DarbyNPI 1013752682
Title
Ceo
Phone
(480) 913-4882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X

Addresses

Primary practice location

13619 W Boca Raton Rd
Surprise, AZ 85379

Mailing address

13794 W Waddell Rd # 203185
Surprise, AZ 85379-8499
Phone (148) 091-3488

Other names 1

  • Maes Place Doing business as

National Provider Directory

National Provider Directory

Locations

13794 W Waddell Rd
#203185
Surprise, AZ 85379

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1760233902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13794 W WADDELL RD # 203185",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798499",
            "telephone_number": "148-091-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13619 W BOCA RATON RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "480-913-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAE'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "LAKEYSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-913-4882"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maes Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maes Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.