ASSISTED LIVING AT MOUNTAIN VISTA NPI 1053430454

NPI Information

NPI: 1053430454
Provider Name: ASSISTED LIVING AT MOUNTAIN VISTA
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
12823 N 65TH PL
SCOTTSDALE, AZ
ZIP 85254
Phone: (602) 441-2563
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ASSISTED LIVING AT MOUNTAIN VISTA is an assisted living facility in Scottsdale, AZ. The provider is 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. ASSISTED LIVING AT MOUNTAIN VISTA NPI is 1053430454. The provider is registered as an organization entity type.

The provider's business location address is:

12823 N 65TH PL
SCOTTSDALE, AZ
ZIP 85254-519
Phone: (602) 441-2563
Fax: (602) 354-7129

The provider's authorized official is Beth Glover .
The authorized official title is Administrative Manager and has the following contact phone number (602) 441-2563.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		ALH-5146	ARIZONA	Yes
2	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	ALH-5146	ARIZONA	X
3	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	ALH-5146	ARIZONA	X
4	310500000X	Intermediate Care Facility, Mental Illness		ALH-5146	ARIZONA	X
5	311ZA0620X	Custodial Care Facility	Adult Care Home	ALH-5146	ARIZONA	X
6	323P00000X	Psychiatric Residential Treatment Facility		ALH-5146	ARIZONA	X
7	324500000X	Substance Abuse Rehabilitation Facility		ALH-5146	ARIZONA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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