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AC ASSISTED LIVING NPI 1104315126


NPI Information

NPI: 1104315126
Provider Name: AC ASSISTED LIVING

Doing Business As: AC ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3907 W. LANE AVE
PHOENIX, AZ
ZIP 85051
Phone: (623) 547-7232
Get Directions

AC ASSISTED LIVING 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. AC ASSISTED LIVING NPI is 1104315126. The provider is registered as an organization entity type.
The provider Is Doing Business As Ac Assisted Living.

The provider's business location address is:

3907 W. LANE AVE
PHOENIX, AZ
ZIP 85051-754
Phone: (623) 547-7232
Fax: (623) 215-2341

The provider's authorized official is Helen Dike .
The authorized official title is Director and has the following contact phone number (480) 203-5862.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 2/24/2021.


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 FacilityAL10714HARIZONAYes

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
1AL11475HOTHERARIZONAAZ DEPARTMENT OF HEALTH SERVICES

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

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.