Phoenix Mountain Nursing Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-2673 Issued in AZ

Legal business name

PHOENIX MOUNTAIN NURSING CENTER, INC.

Doing business as

Phoenix Mountain Nursing Center

Practice address

13232 N Tatum Blvd
Phoenix, AZ 85032-6459

Phone

(602) 996-5200

Fax

(602) 996-6160

NPI assigned

Apr 14, 2008

Last updated

Sep 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cary B Harkins

Title

Treasurer

Phone

(816) 734-0533

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Mountain Nursing Center Doing business as

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1780858522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13232 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326459",
            "telephone_number": "602-996-5200",
            "fax_number": "602-996-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13232 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326459",
            "telephone_number": "602-996-5200",
            "fax_number": "602-996-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MOUNTAIN NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "816-734-0533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-2673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Mountain Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix Mental Health and Wellness PLLC
• Phoenix Metabolic Health PLLC
• Phoenix Mind Body Connection LLC
• Phoenix Mountain Dentistry, LLC
• Phoenix Mountain Nursing Center Inc
• Phoenix Mountain Pkwy Medical Center, LLC (First Choice Emergency Room)
• Phoenix Mua Physicians Group
• Phoenix Neurological Associates LTD
• Phoenix Neurological Institute Inc (Phoenician Behavioral Health)
• Phoenix Neurology and Sleep Medicine PLLC

• Skilled Nursing Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.