ST CHARLES PLACE NPI 1861876500

NPI Information

  • NPI: 1861876500
  • Provider Name: ST CHARLES PLACE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ST CHARLES PLACE III
  • Address: 6818 S 16TH PL
    PHOENIX, AZ
    ZIP 85042
  • Phone: (602) 276-0084

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NPI Details

ST CHARLES PLACE 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. ST CHARLES PLACE NPI is 1861876500. The provider is registered as an organization entity type.
The provider Is Doing Business As St Charles Place Iii.

The provider's business location address is:

6818 S 16TH PL
PHOENIX, AZ
ZIP 85042-714
Phone: (602) 276-0084
Fax: (602) 595-9969

The provider's authorized official is James Williams .
The authorized official title is Manager/owner and has the following contact phone number (602) 276-0084.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 7/13/2015.

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 FacilityAL3064HARIZONANo
2310400000XAssisted Living FacilityAL 8954HARIZONAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1426933MEDICAIDARIZONA

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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