Active NPI
Klara'S II Adult Care Home
- Adult Care Home Facility
- Gilbert, AZ
National Provider Identifier
1821618679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- KLARA'S II ADULT CARE HOME
- Practice address
- 2974 E Pony CT
Gilbert, AZ 85295-3775 - Phone
- (480) 988-2134
- NPI assigned
- Apr 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
- Mrs. Amelia Abella Tagaloguin, RN
- Title
- Member
- Phone
- (480) 338-0834
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
2974 E Pony CT
Gilbert, AZ 85295-3775
Mailing address
2974 E Pony CT
Gilbert, AZ 85295-3775
Phone (480) 988-2134
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587513600000",
"number": "1821618679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2974 E PONY CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953775",
"telephone_number": "480-988-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2974 E PONY CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953775",
"telephone_number": "480-988-2134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLARA'S II ADULT CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A",
"authorized_official_last_name": "ABELLA TAGALOGUIN",
"authorized_official_first_name": "AMELIA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "480-338-0834",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.