Valley of the Sun Assisted Living Home- East LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AL8565H Issued in AZ

Legal business name

VALLEY OF THE SUN ASSISTED LIVING HOME- EAST LLC

Doing business as

Valley of the Sun Assisted Living Facility

Practice address

2018 E Wagoner Rd
Phoenix, AZ 85022-1433

Phone

(480) 720-4591

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mirnes MehicNPI 1942506019

Title

Owner

Phone

(480) 720-4591

Specialties & licenses 1

Addresses

Other names 1

• Valley of the Sun Assisted Living Facility Doing business as

Practitioners 1

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

• Mirnes Mehic

  • Assisted Living Facility
  • Phoenix, AZ
  • NPI 1942506019
  NPD (past) Authorized official

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1891060638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 E WAGONER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221433",
            "telephone_number": "480-720-4591",
            "fax_number": "602-788-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 E WAGONER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221433",
            "telephone_number": "480-720-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OF THE SUN ASSISTED LIVING HOME- EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MEHIC",
        "authorized_official_first_name": "MIRNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-720-4591"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "AL8565H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley of the Sun Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Valley of the Sun Young Men'S Christian Association
• Valley Orthopaedic Group, LTD.
• Valley Oximetry Incorporated (Valley Sleep Center)

• Adult Care Home Facility in Phoenix, AZ
• Providers in Phoenix, 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 Mar 13, 2012; 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.