1203 PALLOVERDE LLC – NPI #1114233079
Clinic/Center

1203 PALLOVERDE LLC is an AHC clinic located in CHANDLER, AZ. NPPES has assigned the NPI number 1114233079 to 1203 PALLOVERDE LLC on August 28, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1203 PALLOVERDE LLC below.

NPI Profile for
1203 PALLOVERDE LLC

NPI Number
1114233079
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1203 PALLOVERDE LLC
Primary location
1203 W PALO VERDE DR
CHANDLER, AZ 85224-2358
Phone: (202) 288-0422 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRIAN HACKETT
PRESIDENT
Phone: (202) 288-0422
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 AZ AL7815H

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.