Jolex @ Obispo

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH 435 Issued in AZ

Legal business name

JOLEX @ OBISPO

Practice address

2216 W Obispo Ave
Mesa, AZ 85202-7909

Phone

(480) 239-7341

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Agnes Santos

Title

Manager

Phone

(480) 239-7341

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1770784134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 W OBISPO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027909",
            "telephone_number": "480-239-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 W OBISPO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027909",
            "telephone_number": "480-239-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLEX @ OBISPO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-239-7341"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH 435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, 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 Jun 16, 2008; 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.