Organization Active NPI

Memory Care of Arizona

  • EEG Technician
  • Queen Creek, AZ
National Provider Identifier
1922326693
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG TechnicianTaxonomy code 2472E0500X
Legal business name
MEMORY CARE OF ARIZONA
Practice address
21061 E Stirrup St
Queen Creek, AZ 85142-6523
Phone
(480) 730-8502
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Ms. Cora Marie Florer
Title
Ceo
Phone
(602) 402-8171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EEG TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 2472E0500X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

21061 E Stirrup St
Queen Creek, AZ 85142-6523

Mailing address

21061 E Stirrup St
Queen Creek, AZ 85142-6523
Phone (480) 730-8502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1922326693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21061 E STIRRUP ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426523",
            "telephone_number": "480-730-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21061 E STIRRUP ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426523",
            "telephone_number": "480-730-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY CARE OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "FLORER",
        "authorized_official_first_name": "CORA MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-402-8171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.