Organization Active NPI

Latham Assisted Living Home LLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1083545586
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LATHAM ASSISTED LIVING HOME LLC
Practice address
7746 E Latham St
Scottsdale, AZ 85257-3734
Phone
(602) 710-8782
NPI assigned
May 26, 2026
Organization subpart
Yes
Parent organization
LATHAM ASSISTED LIVING HOME LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Ma Grace Corazon Fernandez BecerraNPI 1164353645
Title
Owner / Administrator
Phone
(602) 710-8782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7746 E Latham St
Scottsdale, AZ 85257-3734

Mailing address

756 W Hackamore St
Gilbert, AZ 85233-6879
Phone (602) 710-8782

National Provider Directory

National Provider Directory
Part of
Latham Assisted Living Home LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1083545586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 W HACKAMORE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336879",
            "telephone_number": "602-710-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7746 E LATHAM ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573734",
            "telephone_number": "602-710-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHAM ASSISTED LIVING HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LATHAM ASSISTED LIVING HOME LLC",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "MA GRACE CORAZON",
        "authorized_official_middle_name": "FERNANDEZ",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "602-710-8782"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.