Casa Maia Alh LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

AL8946H Issued in AZ

Legal business name

CASA MAIA ALH LLC

Practice address

3554 E Tonto PL
Chandler, AZ 85249-5472

Phone

(480) 626-9328

Fax

(480) 265-9996

NPI assigned

Feb 6, 2016

Organization subpart

No

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

Authorized official

Name

Bianca Gilmore

Title

Owner/ Manager

Phone

(480) 677-9776

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454716800000",
    "number": "1922466853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 E TONTO PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495472",
            "telephone_number": "480-626-9328",
            "fax_number": "480-265-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 E TONTO PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495472",
            "telephone_number": "480-626-9328",
            "fax_number": "480-265-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA MAIA ALH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-06",
        "last_updated": "2016-02-06",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "480-677-9776"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "AL8946H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048019",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Chandler, AZ
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2016; 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.