Organization Active NPI

Family Healthreach, Inc.

  • Assisted Living Facility
  • Chandler, AZ
National Provider Identifier
1881758084
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALC-2625 Issued in AZ
Legal business name
FAMILY HEALTHREACH, INC.
Practice address
977 S Pennington Dr
Chandler, AZ 85224-5658
Phone
(480) 814-9046
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Patti Ploski
Title
Business Manager
Phone
(480) 814-9046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALC-2625 AZ Primary

Addresses

Primary practice location

977 S Pennington Dr
Chandler, AZ 85224-5658

Mailing address

977 S Pennington Dr
Chandler, AZ 85224-5658
Phone (480) 814-9046

Other identifiers 1

IdentifierTypeStateIssuer
631590MedicaidAZ

Other names 1

  • Pennington Gardens Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Healthreach Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1881758084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 S PENNINGTON DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245658",
            "telephone_number": "480-814-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 S PENNINGTON DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245658",
            "telephone_number": "480-814-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "PLOSKI",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "480-814-9046"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-2625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631590",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennington Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.