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ALEGRE CARE HOME NPI 1487979233


NPI Information

NPI: 1487979233
Provider Name: ALEGRE CARE HOME

Former Legal Business Name: WEST PACIFIC MEDICAL SERVICES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4232 W WALTANN LN
PHOENIX, AZ
ZIP 85053
Phone: (602) 281-6512
Get Directions

ALEGRE CARE HOME is an assisted living facility in Phoenix, 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. ALEGRE CARE HOME NPI is 1487979233. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is West Pacific Medical Services.

The provider's business location address is:

4232 W WALTANN LN
PHOENIX, AZ
ZIP 85053-772
Phone: (602) 281-6512
Fax: (602) 281-6512

The provider's authorized official is Paul Pucti .
The authorized official title is Owner/administrator and has the following contact phone number (602) 281-6512.

The enumeration date for this NPI number is 4/6/2010 and was last updated on 4/6/2010.


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 FacilityAL7051HARIZONAYes

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
1411962OTHERARIZONAAHCCCS PROVIDER ID

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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