PRIMAVERA ASSISTED LIVING LLC NPI 1104696897

NPI Information

  • NPI: 1104696897
  • Provider Name: PRIMAVERA ASSISTED LIVING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 13644 N 33RD AVE
    PHOENIX, AZ
    ZIP 85029
  • Phone: (951) 907-2289

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NPI Details

PRIMAVERA ASSISTED LIVING LLC 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. PRIMAVERA ASSISTED LIVING LLC NPI is 1104696897. The provider is registered as an organization entity type.

The provider's business location address is:

13644 N 33RD AVE
PHOENIX, AZ
ZIP 85029-218
Phone: (951) 907-2289

The provider's authorized official is Joy Anne Marie Ibuyan Padron .
The authorized official title is Owner and has the following contact phone number (951) 907-2289.

The enumeration date for this NPI number is 1/4/2024 and was last updated on 1/4/2024.

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
1310400000XAssisted Living FacilityYes

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: 11/21/2025

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