CASA DE ANGELES ASSISTED LIVING
NPI 1003189754
Assisted Living Facility in Pearce, AZ

Active since February 10, 2012
457 N. IRONWOOD CT., PEARCE, AZ 85625(520) 826-4065(520) 826-4065 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Casa De Angeles Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASA DE ANGELES ASSISTED LIVING (NPI 1003189754) is a healthcare organization registered as an assisted living facility in Pearce, Arizona and active in the NPI registry since February 2012. The organization lists Iliana Lara, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1003189754
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCASA DE ANGELES ASSISTED LIVING INC.
Location Address457 N. IRONWOOD CT.Pearce, AZ 85625
Mailing AddressP.o. Box 726Pearce, AZ 85625 · (520) 826-4065 · Fax (520) 826-4065
Fax(520) 826-4065
Organization SubpartNo
Authorized OfficialIliana LaraCo-owner · (520) 873-8419
Enumeration DateFebruary 10, 2012
Last NPPES UpdateApril 11, 2022
NPPES CertifiedApril 11, 2022
NPI 1003189754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in AZ · AL8631H
Definition
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.
457 N. IRONWOOD CT., Pearce, AZ 85625

Other Names 1

Doing Business AsCasa De Angeles Assisted Living

Other Identifiers 1

Medicaid682106AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casa De Angeles Assisted Living Inc.'s NPI number?

The NPI number for Casa De Angeles Assisted Living Inc. is 1003189754. It was assigned to this organization in the NPPES registry on February 10, 2012. The provider is doing business as Casa De Angeles Assisted Living.

Where is Casa De Angeles Assisted Living Inc. located?

Casa De Angeles Assisted Living Inc. is located at 457 N. Ironwood Ct., Pearce, AZ 85625. The listed phone number is (520) 826-4065.

What is Casa De Angeles Assisted Living Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Casa De Angeles Assisted Living Inc. was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.