Legacy of Hearts Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEGACY OF HEARTS ASSISTED LIVING LLC

Practice address

4638 E Summerhaven Dr
Phoenix, AZ 85044-4820

Phone

(480) 207-1700

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Bruno Ezealah

Title

Director

Phone

(480) 650-2431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1093585242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 E SUMMERHAVEN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4638 E SUMMERHAVEN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444820",
            "telephone_number": "480-207-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY OF HEARTS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "EZEALAH",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-650-2431"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, 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 Jan 8, 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.