Organization Active NPI

Brett Calabro'S Home

  • Assisted Living Facility (Mental Illness)
  • Phoenix, AZ
National Provider Identifier
1902034424
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
BH3258 Issued in AZ
Legal business name
BRETT CALABRO'S HOME
Practice address
4002 W Sharon Ave
Phoenix, AZ 85029-1044
Phone
(602) 357-1781
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Mrs. Brett A Calabro
Title
Administrator
Phone
(602) 357-1781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X BH3258 AZ Primary

Addresses

Primary practice location

4002 W Sharon Ave
Phoenix, AZ 85029-1044

Mailing address

4002 W Sharon Ave
Phoenix, AZ 85029-1044
Phone (602) 357-1781

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1902034424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 W SHARON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291044",
            "telephone_number": "602-357-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 W SHARON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291044",
            "telephone_number": "602-357-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT CALABRO'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "CALABRO",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-357-1781",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "BH3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 15, 2010; 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.