Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Michael's Manor

Organization Nursing Care Agency · NPI 1134950017

St Michael's Manor is a Nursing Care Agency in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

3709 S 77th Ln
Phoenix, AZ 85043-1233
Phone: (623) 680-3733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X
Nursing Care Agency Taxonomy 251J00000X

Record details

NPI number1134950017
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Michael's Manor LLC
Authorized official Teresita Cabacungan — President · (623) 680-3733
Other names St. Michael'S Manor Ii; St. Michael'S Manor Ii
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address3709 S 77th Ln, Phoenix, AZ 85043-1233

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