NPIMap

Organization Active NPI

Platinum Assisted Care

  • Assisted Living Facility
  • Mesa, AZ
National Provider Identifier
1831392455
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH - 5208 Issued in AZ
Legal business name
PLATINUM ASSISTED CARE
Practice address
3755 E Menlo St
Mesa, AZ 85215-1717
Phone
(623) 221-1544
Fax
(623) 334-3289
NPI assigned
Jun 10, 2007
Last updated
Jan 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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

Authorized official

Name
Mrs. Deneen Marie De Vries, PT, MBA
Title
Owner
Phone
(623) 221-1544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH - 5208 AZ Primary

Addresses

Primary practice location

3755 E Menlo St
Mesa, AZ 85215-1717

Mailing address

7041 W Willow Ave
Peoria, AZ 85381-5084
Phone (623) 221-1544

National Provider Directory

National Provider Directory
Tax ID family
Platinum Assisted Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232150400000",
    "number": "1831392455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 W WILLOW AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815084",
            "telephone_number": "623-221-1544",
            "fax_number": "623-334-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 E MENLO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151717",
            "telephone_number": "623-221-1544",
            "fax_number": "623-334-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM ASSISTED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-10",
        "last_updated": "2009-01-17",
        "status": "A",
        "authorized_official_last_name": "DE VRIES",
        "authorized_official_first_name": "DENEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-221-1544",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH - 5208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; 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.