Sterling-S Haven

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STERLING-S HAVEN

Practice address

4715 S 99TH Dr
Tolleson, AZ 85353-4450

Phone

(623) 205-7196

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rosalyn Graham, LPN

Title

President

Phone

(623) 205-7196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1902400500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 S 99TH DR",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853534450",
            "telephone_number": "623-205-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 S 99TH DR",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853534450",
            "telephone_number": "623-205-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING-S HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-205-7196",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Tolleson, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.