Organization Active NPI

Neuro Rehabcare of the Valley - Az LLC

  • Physical Disabilities Residential Treatment Facility
  • Peoria, AZ
National Provider Identifier
1770009219
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
NEURO REHABCARE OF THE VALLEY - AZ LLC
Practice address
8307 W Misty Willow LN
Peoria, AZ 85383-1511
Phone
(623) 745-0910
Fax
(623) 745-0867
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dante Paterson
Title
Controller
Phone
(913) 961-6838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

8307 W Misty Willow LN
Peoria, AZ 85383-1511

Mailing address

10800 Farley St Ste 265
Overland Park, KS 66210-1693
Phone (913) 961-6838

National Provider Directory

National Provider Directory

Locations

8307 W Misty Willow Ln
Peoria, AZ 85383
Phone (623) 745-0910

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1770009219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FARLEY ST STE 265",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101693",
            "telephone_number": "913-961-6838",
            "fax_number": "913-345-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 W MISTY WILLOW LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831511",
            "telephone_number": "623-745-0910",
            "fax_number": "623-745-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO REHABCARE OF THE VALLEY - AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "PATERSON",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "913-961-6838"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2018; 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.