Carson Care Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CARSON CARE FACILITY LLC

Practice address

6736 W Carson Rd
Laveen, AZ 85339-7024

Phone

(623) 236-5843

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Stephen Cotton

Title

Member

Phone

(623) 236-5843

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1972159093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N LITCHFIELD RD STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-236-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6736 W CARSON RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397024",
            "telephone_number": "623-236-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-236-5843"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.