Alpine Villa Group LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ALPINE VILLA GROUP LLC

Practice address

8845 W Potter Dr
Peoria, AZ 85382-6428

Phone

(602) 292-2010

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Eric Glade Maughan

Title

Member

Phone

(602) 292-2010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1881209583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 W POTTER DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826428",
            "telephone_number": "602-292-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 W POTTER DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826428",
            "telephone_number": "602-292-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE VILLA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "MAUGHAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "GLADE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-292-2010"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.