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ORDINARY LIFESTYLES LLC NPI 1003214370


NPI Information

NPI: 1003214370
Provider Name: ORDINARY LIFESTYLES, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
401 N LAREDO LN
PAYSON, AZ
ZIP 85541
Phone: (928) 595-2068
Get Directions

ORDINARY LIFESTYLES, LLC is an adult care home custodial care facility in Payson, AZ. The provider is 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. ORDINARY LIFESTYLES, LLC NPI is 1003214370. The provider is registered as an organization entity type.

The provider's business location address is:

401 N LAREDO LN
PAYSON, AZ
ZIP 85541-389
Phone: (928) 595-2068
Fax: (888) 673-2528

The provider's authorized official is Karen Waters .
The authorized official title is Owner and has the following contact phone number (928) 595-2068.

The enumeration date for this NPI number is 12/18/2014 and was last updated on 12/18/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeAL9273HARIZONANo
2311ZA0620XCustodial Care FacilityAdult Care HomeAL9118HARIZONANo
3311ZA0620XCustodial Care FacilityAdult Care HomeAL9592HARIZONANo
4311ZA0620XCustodial Care FacilityAdult Care HomeAL4632HARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1854100OTHERARIZONAAHCCCS ID

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: 11/15/2022

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