Kissling Manor Alh LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KISSLING MANOR ALH LLC

Practice address

15456 W Morning Glory St
Goodyear, AZ 85338-6907

Phone

(623) 518-4649

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Paul Horst

Title

Owner/Member

Phone

(602) 725-6636

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1023770021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15456 W MORNING GLORY ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386907",
            "telephone_number": "623-518-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15456 W MORNING GLORY ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386907",
            "telephone_number": "623-518-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSLING MANOR ALH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "HORST",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "602-725-6636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011036",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kisslingmanor@cox.net",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15456 W Morning Glory St",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853386907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chenery J Kinemond, PHARMD
• Kori Ann King, SLPA
• Jennifer Kinney, LPN
• Amanda Autumn Kinnie, M.A.ED, CAGS
• Sarah Ellen Kircher, LMSW
• Albert Leonard Klaski, M.D.
• Courtney Klusek
• Tasha L Knepp, PTA
• Trent Wilson Knight, PA
• KNK Care LLC

• Assisted Living Facility in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.