CASA DEL REY ASSISTED LIVING CARE HOME


Address: 22284 N 102nd Ln, Peoria, AZ 85383-2657
Phone: 6234143848

CASA DEL REY ASSISTED LIVING CARE HOME (NPI# 1194927947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194927947
Entity Type Organization
Organization Name CASA DEL REY ASSISTED LIVING CARE HOME
Practice Address 22284 N 102nd Ln
Peoria
AZ 85383-2657
Practice Telephone 6234143848
Practice Fax Number 6235374010
Mailing Telephone 6234143848
Mailing Fax Number 6235374010
Enumeration Date 2007-06-04
Last Update Date 2008-06-26
Authorized Official Name NICULAE SPIREA (OWNER)
Authorized Official Telephone 6234143848
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service ALH-6315 AZ Managed Care Organizations

Office Location

Street Address 22284 N 102ND LN
City PEORIA
State AZ
Zip Code 85383-2657

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043727068 Casa Del Rey Alch Custodial Care Facility 22284 N 102nd Ln, Peoria, AZ 85383-2657 2017-12-30
1609327857 Doinita Dawson Community Health Worker 22284 N 102nd Ln, Peoria, AZ 85383-2657 2016-10-21

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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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1396137923 Pleasant Pediatric Dentistry Point of Service 9840 W Yearling Rd, Suite 1240, Peoria, AZ 85383-1377 2015-02-18

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1912443144 Hospice Promise of Mohave LLC Point of Service 840 W University Dr Ste 1, Mesa, AZ 85201-5529 2017-01-11
1194277426 Women's Medical & Gyn Centre, LLC Point of Service 2055 Highway 95, Bullhead City, AZ 86442-6004 2016-11-03
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1376908996 Westchester Tbi Home Care LLC Point of Service 1046 E Westchester Dr, Tempe, AZ 85283-3039 2015-12-25
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Competitor

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City PEORIA
Zip Code 85383

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Dataset Information

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.

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