PAYSON'S OPEN DOOR NPI 1497013940

NPI Information

  • NPI: 1497013940
  • Provider Name: PAYSON'S OPEN DOOR
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1008 S BUTTE CREST CIR
    PAYSON, AZ
    ZIP 85541
  • Phone: (928) 474-2096

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NPI Details

PAYSON'S OPEN DOOR is an assisted living facility in Payson, 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. PAYSON'S OPEN DOOR NPI is 1497013940. The provider is registered as an organization entity type.

The provider's business location address is:

1008 S BUTTE CREST CIR
PAYSON, AZ
ZIP 85541-603
Phone: (928) 474-2096

The provider's authorized official is Kim Marie Miles .
The authorized official title is Owner/manager and has the following contact phone number (928) 474-2096.

The enumeration date for this NPI number is 5/2/2012 and was last updated on 5/2/2012.

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 FacilityAL8465HARIZONAYes

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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