NPIMap

Organization Active NPI

Ordinary Lifestyles, LLC

Doing business as Ordinary Lifestyles IV

  • Adult Care Home Facility
  • Payson, AZ
National Provider Identifier
1023841608
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ORDINARY LIFESTYLES, LLC
Doing business as
Ordinary Lifestyles IV
Practice address
205 W Bonita St
Payson, AZ 85541-5093
Phone
(928) 595-2068
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ORDINARY LIFESTYLES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Karen Waters
Title
Member Manager
Phone
(928) 595-2068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

205 W Bonita St
Payson, AZ 85541-5093

Mailing address

401 N Laredo LN
Payson, AZ 85541-4389
Phone (928) 595-2068

Other names 1

  • Ordinary Lifestyles IV Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ordinary Lifestyles LLC4 organizations share this tax ID, including this one
Part of
Ordinary Lifestyles LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 W Bonita St
Payson, AZ 85541
Phone (928) 595-2068

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1023841608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N LAREDO LN",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414389",
            "telephone_number": "928-595-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BONITA ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415093",
            "telephone_number": "928-595-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORDINARY LIFESTYLES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORDINARY LIFESTYLES, LLC",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "928-595-2068"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ordinary Lifestyles IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.