Elaines Residential LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

ELAINES RESIDENTIAL LLC

Practice address

1773 E Cardinal Dr
Casa Grande, AZ 85122-6317

Phone

(716) 370-5678

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Ohimai Ojo

Title

Administrator

Phone

(928) 247-2804

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1801404298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 E CARDINAL DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226317",
            "telephone_number": "480-330-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 E CARDINAL DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226317",
            "telephone_number": "716-370-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINES RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "OHIMAI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-247-2804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehrbright and Hankel DDS, PLLC
• Christopher Philip Ehrbright, DDS
• Joshua James Eichelberger, DMD
• Valena F Eisenhart
• El Sol Home Health, Inc.
• Eleanor a. Clark, MD,PC
• Mehrdod Shakouri Eleezeh, D.O
• Catherine Eleiott
• Terri Ellert
• Erin Ellington, APRN

• Assisted Living Facility (Behavioral Disturbances) in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.