Active NPI
Jennings South, Inc.
Doing business as Villa Ocotillo
- Assisted Living Facility
- Scottsdale, AZ
National Provider Identifier
1811108897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALC 4470
- Legal business name
- JENNINGS SOUTH, INC.
- Doing business as
- Villa Ocotillo
- Practice address
- 3327 N Civic Center PLZ
Scottsdale, AZ 85251-6404 - Phone
- (480) 946-7111
- Fax
- (480) 945-2344
- NPI assigned
- May 24, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward Slattery II, COO
- Title
- Chief Operating Officer
- Phone
- (513) 325-9304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALC 4470 | AZ | Primary |
Addresses
Primary practice location
3327 N Civic Center PLZ
Scottsdale, AZ 85251-6404
Mailing address
3327 N Civic Center PLZ
Scottsdale, AZ 85251-6404
Phone (480) 946-7111
Other names 1
- Villa Ocotillo
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2248012 | Villa Ocotillo Alc, LLC Dba Villa Ocotillo | Certificate of waiver | Jan 10, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811108897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3327 N CIVIC CENTER PLZ",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516404",
"telephone_number": "480-946-7111",
"fax_number": "480-945-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 N CIVIC CENTER PLZ",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516404",
"telephone_number": "480-946-7111",
"fax_number": "480-945-2344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNINGS SOUTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SLATTERY",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "513-325-9304",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "COO"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "ALC 4470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Villa Ocotillo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.