PARK PLACE RESIDENCES LLC (NPI# 1346806072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346806072 |
| Entity Type | Organization |
| Organization Name | PARK PLACE RESIDENCES LLC |
| Practice Address |
7150 E Gary Rd Scottsdale AZ 85254-5217 |
| Mailing Address |
67 S Higley Rd Ste 103-208 Gilbert AZ 85296-1166 |
| Practice Telephone | 4808688697 |
| Mailing Telephone | 4808688697 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | MRS. CASSANDRA FORTSON (MANAGING MEMBER) |
| Authorized Official Telephone | 4808688697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
7150 E GARY RD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85254-5217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318416 | Dental Center of Scottsdale Pllc | Dentist | 6945 E. Sahuaro, Dr. Ste A-3, Scottsdale, AZ 85254 | 2020-05-19 |
| 1730651365 | Banner Urgent Care Services, LLC | Clinic/Center | 6501 East Greenway Parkway Building 3 Ste 104, Scottsdale, AZ 85254 | 2018-12-20 |
| 1801364872 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 7047 E. Greenwood Parkway, Suite 250, Scottsdale, AZ 85254 | 2018-11-08 |
| 1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
| 1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
| 1104339316 | Victoria Lynne Amstutz | Family Medicine | 5546 E. Yucca Street, Scottsdale, AZ 85254 | 2017-11-09 |
| 1205345477 | Dentists of Scottsdale, LLP | Dentist | 16201 N Scottsdale Road, Ste 100, Scottsdale, AZ 85254 | 2017-09-20 |
| 1346779626 | Jillian Manng | Nurse Practitioner | 11000 N. Scottsdale Rd., #145, Scottsdale, AZ 85254 | 2017-06-08 |
| 1184163339 | Emily Tepouha Bashah | Psychologist | 13430 North Scottsdale Road, Suite #301a, Scottsdale, AZ 85254 | 2017-02-21 |
| 1427596741 | Tiffany Schonert | Contractor | 7127 E Sahuaro Dr Suite 105, Scpttsdale, AZ 85254 | 2017-02-07 |
| Find all providers in zip 85254 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093357014 | Honor Assisted Living LLC | Assisted Living Facility | 7412 E Wethersfield Rd, Scottsdale, AZ 85260-4719 | 2019-10-10 |
| 1487139861 | Marilyn Manor Assisted Living Home, LLC | Assisted Living Facility | 6327 E Marilyn Rd, Scottsdale, AZ 85254-2577 | 2018-10-01 |
| 1871003046 | John Callini | Assisted Living Facility | 8139 E Cholla St, Scottsdale, AZ 85260-6500 | 2017-10-02 |
| 1417494527 | Gng Management Group Inc | Assisted Living Facility | 15213 N 55th Way, Scottsdale, AZ 85254-8204 | 2017-01-26 |
| 1821534744 | Arc Scottsdale, LLC | Assisted Living Facility | 15436 N 64th St, Scottsdale, AZ 85254-2064 | 2017-01-17 |
| 1700337680 | Colten Adult Care, LLC | Assisted Living Facility | 14203 N 68th Pl, Scottsdale, AZ 85254-3401 | 2016-10-17 |
| 1194276055 | Colten Adult Care, LLC | Assisted Living Facility | 6739 E Sweetwater Ave, Scottsdale, AZ 85254-4586 | 2016-10-17 |
| 1093263816 | Colten Adult Care, LLC | Assisted Living Facility | 12433 N 71st St, Scottsdale, AZ 85254-5319 | 2016-09-21 |
| 1770031502 | Colten Adult Care, LLC | Assisted Living Facility | 7741 E Charter Oak Rd, Scottsdale, AZ 85260-4827 | 2016-09-21 |
| 1164970059 | Cornelia & Ioan Basa | Assisted Living Facility | 13330 N 88th Pl, Scottsdale, AZ 85260-7633 | 2016-09-20 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.