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IMELDA SIONGCO NPI 1215311238


NPI Information

NPI: 1215311238
Provider Name: IMELDA SIONGCO
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Individual

Specialization: Adult Care Home

Address:
1432 N. DE SOTO ST.
CHANDLER, AZ
ZIP 85224
Phone: (480) 755-4390
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Imelda Siongco is an adult care home custodial care facility in Chandler, AZ. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. Imelda Siongco NPI is 1215311238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1432 N. DE SOTO ST.
CHANDLER, AZ
ZIP 85224-850
Phone: (480) 755-4390

The enumeration date for this NPI number is 7/20/2015 and was last updated on 7/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeAL9060ARIZONANo
2311ZA0620XCustodial Care FacilityAdult Care HomeAL8867ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1825613MEDICAIDARIZONA
2825596MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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