Organization Active NPI

Honor Assisted Living LLC

Doing business as Serva Assisted Living of Scottsdale

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1093357014
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HONOR ASSISTED LIVING LLC
Doing business as
Serva Assisted Living of Scottsdale
Practice address
7412 E Wethersfield Rd
Scottsdale, AZ 85260-4719
Phone
(732) 766-1099
Fax
(480) 629-5544
NPI assigned
Oct 10, 2019
Last updated
Oct 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Mr. Behrouz Barzani, MS
Title
Co/Owner
Phone
(732) 766-1099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7412 E Wethersfield Rd
Scottsdale, AZ 85260-4719

Mailing address

24247 N 81St St
Scottsdale, AZ 85255-2808
Phone (732) 766-1099

Other identifiers 1

IdentifierTypeStateIssuer
435193MedicaidAZ

Other names 1

  • Serva Assisted Living of Scottsdale Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1093357014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24247 N 81ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552808",
            "telephone_number": "732-766-1099",
            "fax_number": "480-629-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 E WETHERSFIELD RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604719",
            "telephone_number": "732-766-1099",
            "fax_number": "480-629-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOR ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "BARZANI",
        "authorized_official_first_name": "BEHROUZ",
        "authorized_official_title_or_position": "CO/OWNER",
        "authorized_official_telephone_number": "732-766-1099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435193",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serva Assisted Living of Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 10, 2019; 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.