Organization Active NPI

Klara'S II Adult Care Home

  • Adult Care Home Facility
  • Gilbert, AZ
National Provider Identifier
1821618679
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Apr 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.