Renata'S Home for the Elderly LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 7603H Issued in AZ

Legal business name

RENATA'S HOME FOR THE ELDERLY LLC

Practice address

2268 W Peggy Dr
San Tan Valley, AZ 85142-6682

Phone

(480) 304-2922

Fax

(480) 699-7096

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Renata Swedrowska

Title

Manager

Phone

(480) 304-2922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1780131870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 W PEGGY DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851426682",
            "telephone_number": "480-304-2922",
            "fax_number": "480-699-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 W PEGGY DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851426682",
            "telephone_number": "480-304-2922",
            "fax_number": "480-699-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATA'S HOME FOR THE ELDERLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "SWEDROWSKA",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-304-2922",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL 7603H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in San Tan Valley, AZ
• Providers in San Tan Valley, 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 Sep 6, 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.