Organization Active NPI

Valley Assisted Living

  • Nursing Care Agency
  • Phoenix, AZ
National Provider Identifier
1013629476
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
VALLEY ASSISTED LIVING
Practice address
3122 W Cavedale Dr
Phoenix, AZ 85083-8636
Phone
(623) 248-6577
NPI assigned
Dec 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lavinia M Cacuci - Simionasi
Title
Owner
Phone
(623) 248-6577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

3122 W Cavedale Dr
Phoenix, AZ 85083-8636

Mailing address

3122 W Cavedale Dr
Phoenix, AZ 85083-8636
Phone (623) 248-6577

Other identifiers 1

IdentifierTypeStateIssuer
6027037124MedicaidAZ

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL ValleyAssisted@gmail.com Direct
CONNECT URL VALLEYASSISTED@GMAIL.COM

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1013629476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 W CAVEDALE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850838636",
            "telephone_number": "623-248-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 W CAVEDALE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850838636",
            "telephone_number": "623-248-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "CACUCI - SIMIONASI",
        "authorized_official_first_name": "LAVINIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-248-6577"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6027037124",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ValleyAssisted@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3122 W Cavedale Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850838636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "VALLEYASSISTED@GMAIL.COM",
            "affiliation": "N",
            "address_1": "3122 W Cavedale Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850838636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.