Silkworth Manor LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SILKWORTH MANOR LLC

Practice address

10575 N 114TH St
Suite 107
Scottsdale, AZ 85254

Phone

(602) 684-0503

Fax

(480) 393-3866

NPI assigned

Aug 3, 2016

Organization subpart

Yes

Parent organization

SILKWORTH MANOR LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Mulligan

Title

Ceo

Phone

(602) 684-0503

Specialties & licenses 1

Addresses

Part of

Silkworth Manor LLC

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1770036022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10575 N 114TH ST",
            "address_2": "SUITE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "602-684-0503",
            "fax_number": "480-393-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10575 N 114TH ST",
            "address_2": "SUITE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "602-684-0503",
            "fax_number": "480-393-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILKWORTH MANOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILKWORTH MANOR LLC",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-684-0503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.