Casa del Rey Assisted Living Care Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CASA DEL REY ASSISTED LIVING CARE HOME, LLC

Practice address

22284 N 102ND LN
Peoria, AZ 85383-2657

Phone

(623) 266-4934

Fax

(623) 271-8325

NPI assigned

Apr 22, 2022

Organization subpart

No

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

Authorized official

Name

Doinita Dorina Dawson, OWNERNPI 1609327857

Title

Manager Assisted Living

Phone

(602) 446-8139

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doinita Dawson

  • Community Health Worker
  • Peoria, AZ
  • NPI 1609327857
  NPD Authorized official

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1871237107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22284 N 102ND LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832657",
            "telephone_number": "623-266-4934",
            "fax_number": "623-271-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22284 N 102ND LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832657",
            "telephone_number": "623-266-4934",
            "fax_number": "623-271-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DEL REY ASSISTED LIVING CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "DOINITA",
        "authorized_official_middle_name": "DORINA",
        "authorized_official_title_or_position": "MANAGER ASSISTED LIVING",
        "authorized_official_telephone_number": "602-446-8139",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janette Carrillo, PA-C
• Minnerva Carroz, NP
• Nick Richard Caruso, MSW, LCSW
• Casa del Rey Alch
• Casa del Rey Assisted Living Care Home
• Michele Case
• Ryan Matthew Casper, MD
• David Castillo, ACNP-BC
• Manuel Castillo, LMSW
• Carolina C. Castro, PA-C

• Adult Care Home Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.