Hidden Garden Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-6413 Issued in AZ

Legal business name

HIDDEN GARDEN ASSISTED LIVING, LLC

Practice address

5005 Corte Vis
Sierra Vista, AZ 85635-7111

Phone

(520) 515-0394

Fax

(520) 458-9314

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel C Parrotta

Title

Owner

Phone

(520) 515-0394

Specialties & licenses 1

Addresses

Other names 1

• Hidden Garden Assisted Living Doing business as

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1760671986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 CORTE VIS",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856357111",
            "telephone_number": "520-515-0394",
            "fax_number": "520-458-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 CORTE VIS",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856357111",
            "telephone_number": "520-515-0394",
            "fax_number": "520-458-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN GARDEN ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "PARROTTA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-515-0394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-6413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hidden Garden Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Renee Heredia, RN
• Patricia E Herrewig, LPC
• Latoya Marie Herring, MEDICAL NAILTECH MNT
• Christen Herrington, CNM
• John N Herrod, MD
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• Gay C. Hill, PSY/MH NP
• Jeffrey H Hill, M.D., PHD

• Assisted Living Facility in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.