Provider Type Icon

MRSC AZ APACHE JUNCTION MASTER TENANT LLC NPI 1013461268


NPI Information

NPI: 1013461268
Provider Name: MRSC AZ APACHE JUNCTION MASTER TENANT, LLC

Doing Business As: VISIONS SENIOR LIVING AT APACHE JUNCTION 1

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 03D2115841

Address:
1510 E BROADWAY AVE BLDG 1
APACHE JUNCTION, AZ
ZIP 85119
Phone: (480) 671-1490
Get Directions

MRSC AZ APACHE JUNCTION MASTER TENANT, LLC is an assisted living facility in Apache Junction, 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. MRSC AZ APACHE JUNCTION MASTER TENANT, LLC NPI is 1013461268. The provider is registered as an organization entity type.
The provider Is Doing Business As Visions Senior Living At Apache Junction 1.

The provider's business location address is:

1510 E BROADWAY AVE BLDG 1
APACHE JUNCTION, AZ
ZIP 85119-301
Phone: (480) 671-1490

The provider's authorized official is Ronald Stewart .
The authorized official title is President and has the following contact phone number (253) 241-4992.

The CLIA number assigned to this NPI record is 03D2115841 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 8/4/2016.


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
1310400000XAssisted Living FacilityAL10066CARIZONAYes

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
1149348MEDICAIDARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.