Organization Active NPI

Medical Development Partners LLC

  • Assisted Living Facility
  • Chandler, AZ
National Provider Identifier
1780262626
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MEDICAL DEVELOPMENT PARTNERS LLC
Doing business as
Parkland Memory Care
Practice address
3500 S Arizona Ave
Chandler, AZ 85248-2720
Phone
(480) 857-4984
Fax
(480) 793-7792
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Christina Hall
Title
Executive Director
Phone
(480) 857-4984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3500 S Arizona Ave
Chandler, AZ 85248-2720

Mailing address

3500 S Arizona Ave
Chandler, AZ 85248-2720
Phone (480) 857-4984

Other names 1

  • Parkland Memory Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2182392Parkland Memory Care3500 S Arizona Ave, Chandler, AZ 85248Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1780262626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852482720",
            "telephone_number": "480-857-4984",
            "fax_number": "480-793-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852482720",
            "telephone_number": "480-857-4984",
            "fax_number": "480-793-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DEVELOPMENT PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-857-4984"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.