NPIMap

Organization Active NPI

Paradise Manor 1,LLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1942557996
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8721H Issued in AZ
Legal business name
PARADISE MANOR 1,LLC
Practice address
13614 N 89TH St
Scottsdale, AZ 85260-7653
Phone
(480) 686-9775
Fax
(408) 519-6589
NPI assigned
Aug 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Ernesta Pearl
Title
Manager
Phone
(480) 686-9775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8721H AZ Primary
Assisted Living Facility 310400000X AL8718H AZ

Addresses

Primary practice location

13614 N 89TH St
Scottsdale, AZ 85260-7653

Mailing address

13614 N 89TH St
Scottsdale, AZ 85260-7653
Phone (480) 686-9775

Other names 1

  • Horizon Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Horizon Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1942557996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13614 N 89TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607653",
            "telephone_number": "480-686-9775",
            "fax_number": "408-519-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13614 N 89TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607653",
            "telephone_number": "480-686-9775",
            "fax_number": "408-519-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE MANOR 1,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "ERNESTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-686-9775"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8721H",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8718H",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Manor",
            "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 Aug 9, 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.