Organization Active NPI

Christine Place LLC

  • Assisted Living Facility
  • Mesa, AZ
National Provider Identifier
1912101288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RCI-1132 Issued in AZ
Legal business name
CHRISTINE PLACE LLC
Practice address
248 N Macdonald
Mesa, AZ 85201-6651
Phone
(480) 964-6685
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Domenico Manzone, M.D.
Title
Owner
Phone
(480) 964-6685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RCI-1132 AZ Primary

Addresses

Primary practice location

248 N Macdonald
Mesa, AZ 85201-6651

Mailing address

248 N Macdonald
Mesa, AZ 85201-6651
Phone (480) 964-6685

Other names 1

  • christine place apartments Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912101288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 N MACDONALD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016651",
            "telephone_number": "480-964-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 N MACDONALD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016651",
            "telephone_number": "480-964-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANZONE",
        "authorized_official_first_name": "DOMENICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-964-6685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "RCI-1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "christine place apartments",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.