Chandler Adult Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1511 Issued in AZ

Legal business name

CHANDLER ADULT CARE HOME

Practice address

1781 E Folley CT
Chandler, AZ 85225-2274

Phone

(480) 786-6008

Fax

(480) 659-6158

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Adelina Panganiban Somera

Title

Administrator, Manager

Phone

(480) 786-6008

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Chandler A.C.H.-John Way Other name

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982763751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 E FOLLEY CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252274",
            "telephone_number": "480-786-6008",
            "fax_number": "480-659-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 E FOLLEY CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252274",
            "telephone_number": "480-786-6008",
            "fax_number": "480-659-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOMERA",
        "authorized_official_first_name": "ADELINA",
        "authorized_official_middle_name": "PANGANIBAN",
        "authorized_official_title_or_position": "ADMINISTRATOR, MANAGER",
        "authorized_official_telephone_number": "480-786-6008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "1511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "967755",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "456592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler A.C.H.-John Way",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chandler Cardiology Associates LLC

• Adult Care Home Facility in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.