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PASTALINO MANOR 4 NPI 1356853915


NPI Information

NPI: 1356853915
Provider Name: PASTALINO MANOR 4
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
1421 E MALDONADO DR
PHOENIX, AZ
ZIP 85042
Phone: (602) 296-5487
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PASTALINO MANOR 4 is a residential treatment facility physical disabilities in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. PASTALINO MANOR 4 NPI is 1356853915. The provider is registered as an organization entity type.

The provider's business location address is:

1421 E MALDONADO DR
PHOENIX, AZ
ZIP 85042-602
Phone: (602) 296-5487

The provider's authorized official is Paul Munyao Kivila .
The authorized official title is Administrator/owner and has the following contact phone number (480) 634-5485.

The enumeration date for this NPI number is 11/3/2017 and was last updated on 11/3/2017.


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
1320700000XResidential Treatment Facility, Physical DisabilitiesYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.