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LOS NINO'S DAY CARE OF CATALINA LLC NPI 1679920136


NPI Information

NPI: 1679920136
Provider Name: LOS NINO'S DAY CARE OF CATALINA LLC

Doing Business As: MARY & PETE'S ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
203 E AVENUE I
SAN MANUEL, AZ
ZIP 85631
Phone: (520) 909-3241
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LOS NINO'S DAY CARE OF CATALINA LLC is an assisted living facility in San Manuel, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LOS NINO'S DAY CARE OF CATALINA LLC NPI is 1679920136. The provider is registered as an organization entity type.
The provider Is Doing Business As Mary & Pete's Assisted Living.

The provider's business location address is:

203 E AVENUE I
SAN MANUEL, AZ
ZIP 85631-357
Phone: (520) 909-3241

The provider's authorized official is Patricia Ann Gonzales .
The authorized official title is Owner and has the following contact phone number (520) 400-4217.

The enumeration date for this NPI number is 5/15/2016 and was last updated on 5/15/2016.


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
1310400000XAssisted Living FacilityAL9394HARIZONAYes

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
1004189OTHERARIZONAAHCCCS

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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