Active NPI
Park Seven Operations LLC
- Assisted Living Facility
- Phoenix, AZ
National Provider Identifier
1861956187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PARK SEVEN OPERATIONS LLC
- Practice address
- 10234 N 7TH Ave
Phoenix, AZ 85021-2423 - Phone
- (602) 371-0767
- NPI assigned
- Jan 31, 2019
- 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
- Jean Gonzvar
- Title
- Managing Member
- Phone
- (602) 943-4842
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
10234 N 7TH Ave
Phoenix, AZ 85021-2423
Mailing address
1214 E Palmaire Ave
Phoenix, AZ 85020-5429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454224 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Phoenix, AZ
- NPI 1861459042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548892800000",
"number": "1861956187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 E PALMAIRE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10234 N 7TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212423",
"telephone_number": "602-371-0767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK SEVEN OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-31",
"last_updated": "2019-01-31",
"status": "A",
"authorized_official_last_name": "GONZVAR",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "602-943-4842"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "454224",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.