TERESITA AND MARIO CABACUNGAN
NPI 1619047305
Custodial Care Facility - Adult Care Home in Peoria, AZ

Q: What is St. Michael's Manor's NPI number?

The NPI number for St. Michael's Manor is 1619047305. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Teresita And Mario Cabacungan.

Q: What is St. Michael's Manor's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since November 09, 2006

8449 W SHAW BUTTE DR, PEORIA, AZ 85345(623) 486-5987(623) 328-5530 Get Directions Write a Review

NPPES record last updated: May 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Teresita And Mario Cabacungan NPPES

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

TERESITA AND MARIO CABACUNGAN (NPI 1619047305) is a healthcare organization registered as an adult care home in Peoria, Arizona and active in the NPI registry since November 2006. The organization lists Teresita Arcena Cabacungan, Owner, as its authorized official.

NPPES Registry Identity

NPI1619047305

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameST. MICHAEL'S MANOR

Location Address8449 W SHAW BUTTE DRPeoria, AZ 85345-8160

Mailing Address8449 W Shaw Butte DrPeoria, AZ 85345-8160 · (623) 486-5987 · Fax (623) 328-5530

Phone(623) 486-5987

Fax(623) 328-5530

Organization SubpartNo

Authorized OfficialTeresita Arcena CabacunganOwner · (562) 673-3214

Enumeration DateNovember 9, 2006

Last NPPES UpdateMay 31, 2008

✔ NPI 1619047305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Licenses✔ Licensed in AZ · ALH-4384✔ Licensed in AZ · ALH-5308✔ Licensed in AZ · ALH6365

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

8449 W SHAW BUTTE DR, Peoria, AZ 85345

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Other Names 1

Doing Business AsTeresita And Mario Cabacungan

Other Identifiers 2

Other966244AZ · Ahcccs

Other827777AZ · Ahcccs

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 St. Michael's Manor's NPI number?

The NPI number for St. Michael's Manor is 1619047305. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Teresita And Mario Cabacungan.

Where is St. Michael's Manor located?

St. Michael's Manor is located at 8449 W Shaw Butte Dr, Peoria, AZ 85345. The listed phone number is (623) 486-5987.

What is St. Michael's Manor's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for St. Michael's Manor was last updated on May 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.