Organization Active NPI

Margat,LLC

  • Community Health Worker
  • Phoenix, AZ
National Provider Identifier
1790143527
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
AL6914H Issued in AZ
Legal business name
MARGAT,LLC
Doing business as
PLESANT STAY CARE HOME
Practice address
3221 E Pershing Ave
Phoenix, AZ 85032-6149
Phone
(602) 493-5182
Fax
(602) 992-7076
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Mila Marcelo
Title
Owner/MGR
Phone
(602) 493-5182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X AL6914H AZ Primary

Addresses

Primary practice location

3221 E Pershing Ave
Phoenix, AZ 85032-6149

Mailing address

3221 E Pershing Ave
Phoenix, AZ 85032-6149
Phone (602) 493-5182

Other identifiers 1

IdentifierTypeStateIssuer
554073MedicaidAZ

Other names 1

  • PLESANT STAY CARE HOME Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1790143527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 E PERSHING AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326149",
            "telephone_number": "602-493-5182",
            "fax_number": "602-992-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 E PERSHING AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326149",
            "telephone_number": "602-493-5182",
            "fax_number": "602-992-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGAT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "MARCELO",
        "authorized_official_first_name": "MILA",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "602-493-5182"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "AZ",
            "license": "AL6914H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554073",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLESANT STAY CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.