Active NPI
Mae's Place
- Case Manager/Care Coordinator
- Surprise, AZ
National Provider Identifier
1760233902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakeysha Darby
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Community Health Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.