View Point of Paseo Village LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9926C Issued in AZ

Legal business name

VIEW POINT OF PASEO VILLAGE LLC

Doing business as

Paseo Village

Practice address

10420 N 89TH Ave
Peoria, AZ 85345-6453

Phone

(623) 878-5115

NPI assigned

Feb 3, 2016

Organization subpart

No

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

Authorized official

Name

Sean Mockbee

Title

Member

Phone

(623) 878-5115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paseo Village Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1982062089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 N 89TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456453",
            "telephone_number": "623-878-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 N 89TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456453",
            "telephone_number": "623-878-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIEW POINT OF PASEO VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "MOCKBEE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-878-5115"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9926C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDHS",
            "identifier": "AL9926C",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paseo Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.