NPIMap

Organization Active NPI

Pastalino Manor LLC

  • Community/Behavioral Health Agency
  • Scottsdale, AZ
National Provider Identifier
1922678416
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PASTALINO MANOR LLC
Doing business as
pastalino manor llc
Practice address
4929 E Laurel LN
Scottsdale, AZ 85254-4640
Phone
(951) 236-4717
Fax
(480) 664-7668
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Paul Munyao Kivila Sr., BA
Title
Ceo
Phone
(480) 634-5485

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4929 E Laurel LN
Scottsdale, AZ 85254-4640

Mailing address

1383 W Kesler LN
Chandler, AZ 85224-7289
Phone (951) 236-4717

Other names 1

  • pastalino manor llc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pastalino Manor LLC 59 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1922678416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 W KESLER LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247289",
            "telephone_number": "951-236-4717",
            "fax_number": "480-664-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 E LAUREL LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544640",
            "telephone_number": "951-236-4717",
            "fax_number": "480-664-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTALINO MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "KIVILA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MUNYAO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-634-5485",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pastalino manor llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.