1659911576 NPI number — PASTALINO MANOR LLC 5

Table of content: (NPI 1659911576)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659911576 NPI number — PASTALINO MANOR LLC 5

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PASTALINO MANOR LLC 5
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659911576
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1383 W KESLER LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHANDLER
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85224-7289
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-236-4717
Provider Business Mailing Address Fax Number:
480-699-7288

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8815 S 57TH LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAVEEN
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85339-5291
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-634-5485
Provider Business Practice Location Address Fax Number:
480-699-7288
Provider Enumeration Date:
01/08/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KIVILA
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
MUNYAO
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
480-634-5485

Provider Taxonomy Codes

  • Taxonomy code: 323P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)