Organization Active NPI

Integrity Adult Care Home 1

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1912253543
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8745H Issued in AZ
Legal business name
INTEGRITY ADULT CARE HOME 1
Practice address
8952 W Melinda LN
Peoria, AZ 85382-2480
Phone
(602) 716-1189
NPI assigned
Aug 1, 2012
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Mrs. Lucia SomodeanNPI 1194050039
Title
Manager
Phone
(602) 716-1189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8745H AZ Primary

Addresses

Primary practice location

8952 W Melinda LN
Peoria, AZ 85382-2480

Mailing address

8952 W Melinda LN
Peoria, AZ 85382-2480
Phone (602) 716-1189

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1912253543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8952 W MELINDA LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822480",
            "telephone_number": "602-716-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8952 W MELINDA LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822480",
            "telephone_number": "602-716-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY ADULT CARE HOME 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "SOMODEAN",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-716-1189",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8745H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.