Active NPI
MRSC Az Apache Junction Master Tenant LLC
Doing business as Visions Senior Living at Apache Junction 2
- Assisted Living Facility
- Apache Junction, AZ
National Provider Identifier
1851849921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL10069C
- Legal business name
- MRSC AZ APACHE JUNCTION MASTER TENANT LLC
- Doing business as
- Visions Senior Living at Apache Junction 2
- Practice address
- 1510 E Broadway Ave BLDG 2
Apache Junction, AZ 85119-5301 - Phone
- (480) 671-1490
- NPI assigned
- Sep 16, 2016
- Last updated
- Feb 5, 2025
- 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
- Gary Langendoen
- Title
- Co-Manager
- Phone
- (626) 796-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL10069C | AZ | Primary |
Addresses
Primary practice location
1510 E Broadway Ave BLDG 2
Apache Junction, AZ 85119-5301
Mailing address
1510 E Broadway Ave BLDG 2
Apache Junction, AZ 85119-5301
Phone (480) 671-1490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149348 | Medicaid | AZ | |
| 149438 | Medicaid | AZ |
Other names 1
- Visions Senior Living at Apache Junction 2
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 |
|---|---|---|---|
| 03D2115846 | Visions Senior Living at Apache Junction 2 | Certificate of waiver | Jul 13, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- MRSC Az Apache Junction Master Tenant LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Visions Senior Living at Apache Junction 1
- Assisted Living Facility
- Apache Junction, AZ
- NPI 1013461268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1851849921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 E BROADWAY AVE BLDG 2",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851195301",
"telephone_number": "480-671-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 E BROADWAY AVE BLDG 2",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851195301",
"telephone_number": "480-671-1490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRSC AZ APACHE JUNCTION MASTER TENANT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-16",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "LANGENDOEN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "CO-MANAGER",
"authorized_official_telephone_number": "626-796-8700"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL10069C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149348",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149438",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Visions Senior Living at Apache Junction 2",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apache Junction, AZ
- Michael Perry Morris, D.C.
- Cali Morrow
- Moulton Family Eye Care LLC (DBA Image Eyecare)
- Jason Hugh Moulton, O.D.
- Christine N Moyer, PSY.D.
- MRSC Az Apache Junction Master Tenant, LLC (Visions Senior Living at Apache Junction 1)
- Hannah Mae Mueller, COTA/L
- Tina Mugford, NP
- Tessa Ann Mustonen, RN
- My Home LLC (Self-Employed)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.