Senior Living Options LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI2645 Issued in AZ

Legal business name

SENIOR LIVING OPTIONS LLC

Practice address

13575 W McDowell Rd
Goodyear, AZ 85395-2604

Phone

(623) 536-9911

Fax

(623) 536-9502

NPI assigned

Jan 24, 2006

Organization subpart

Yes

Parent organization

SENIOR LIVING OPTIONS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Ross Richardson

Title

Partner

Phone

(480) 797-9949

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm Valley Rehabilitation and Care Center Doing business as

Part of

Senior Living Options LLC

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1093785958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952604",
            "telephone_number": "623-536-9911",
            "fax_number": "623-536-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952604",
            "telephone_number": "623-536-9911",
            "fax_number": "623-536-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING OPTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR LIVING OPTIONS LLC",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-797-9949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI2645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873473",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Valley Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.