Active NPI
Family Healthreach, Inc.
Doing business as 860776867
- Assisted Living Facility
- Chandler, AZ
National Provider Identifier
1760665574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALC-2625
- Legal business name
- FAMILY HEALTHREACH, INC.
- Doing business as
- 860776867
- Practice address
- 977 S Pennington Dr
Chandler, AZ 85224-5658 - Phone
- (480) 814-9046
- NPI assigned
- Dec 14, 2007
- Last updated
- Dec 14, 2007
- 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
- Patti Ploski
- Phone
- (480) 814-9046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALC-2625 | AZ | Primary |
Addresses
Primary practice location
977 S Pennington Dr
Chandler, AZ 85224-5658
Mailing address
977 S Pennington Dr
Chandler, AZ 85224-5658
Phone (480) 814-9046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 851198 | Medicaid | AZ |
Other names 1
- 860776867
National Provider Directory
National Provider Directory- Tax ID family
- Family Healthreach Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Pennington Gardens
- Assisted Living Facility
- Chandler, AZ
- NPI 1881758084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197590400000",
"number": "1760665574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 S PENNINGTON DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245658",
"telephone_number": "480-814-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 S PENNINGTON DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245658",
"telephone_number": "480-814-9046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTHREACH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-14",
"last_updated": "2007-12-14",
"status": "A",
"authorized_official_last_name": "PLOSKI",
"authorized_official_first_name": "PATTI",
"authorized_official_telephone_number": "480-814-9046"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "ALC-2625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "851198",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "860776867",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.