SHADOW RIDGE VILLA
NPI 1659565034
Custodial Care Facility - Adult Care Home in Gilbert, AZ

Active since August 29, 2007
1259 E MACAW DR, GILBERT, AZ 85297(480) 628-5923 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shadow Ridge Villa NPPES

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

SHADOW RIDGE VILLA (NPI 1659565034) is a healthcare organization registered as an adult care home in Gilbert, Arizona and active in the NPI registry since August 2007. The organization lists Melca Azcarraga Medina, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1659565034
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameNETONE ENTERPRISES, INC.
Location Address1259 E MACAW DRGilbert, AZ 85297-4527
Mailing Address3921 E Leo PlChandler, AZ 85249-5881 · (480) 629-8200 · Fax (480) 718-7955
Organization SubpartNo
Authorized OfficialMelca Azcarraga MedinaManager/owner · (480) 628-5923
Enumeration DateAugust 29, 2007
NPI 1659565034 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
License Licensed in AZ · ALF6599
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.

1259 E MACAW DR, Gilbert, AZ 85297

Other Names 1

Doing Business AsShadow Ridge Villa

Other Identifiers 1

OtherALH6599AZ · Department Of Health

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659565034, enumerated as an "organization" on August 29, 2007.

The provider is located at 1259 E MACAW DR GILBERT, AZ 85297 and the phone number is (480) 628-5923.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.