MOUNTZION HOME ASSISTING LIVE HOME NPI 1336583756

NPI Information

NPI: 1336583756
Provider Name: MOUNTZION HOME ASSISTING LIVE HOME

Former Legal Business Name: N/A

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
7019 W CAMBRIDGE AVE
PHOENIX, AZ
ZIP 85035
Phone: (480) 392-5422
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MOUNTZION HOME ASSISTING LIVE HOME is an assisted living facility in Phoenix, 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. MOUNTZION HOME ASSISTING LIVE HOME NPI is 1336583756. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is N/a.

The provider's business location address is:

7019 W CAMBRIDGE AVE
PHOENIX, AZ
ZIP 85035-426
Phone: (480) 392-5422

The provider's authorized official is Gladys Yolanda Rosa .
The authorized official title is Owner and has the following contact phone number (480) 392-5422.

The enumeration date for this NPI number is 4/29/2013 and was last updated on 4/29/2013.

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		AL8065H	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	ARIZONA	GROUP HOME
2	=========	MEDICAID	ARIZONA

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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