Farhad Afkhami
Individual provider Active NPI Assisted Living Facility · Phoenix, AZ
NPI 1104581594 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1104581594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL12014H (AZ)
- Practice address
- 3949 E Cholla St
Phoenix, AZ 85028-2116 - Phone
- (602) 500-1505
- NPI assigned
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL12014H | AZ | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Light Asssisted Living, LLC | Assisted Living Facility | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12014H | AZ | Yes |
Addresses
Primary practice location
3949 E Cholla St
Phoenix, AZ 85028-2116
Mailing address
3949 E Cholla St
Phoenix, AZ 85028-2116
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- Melissa Affronti
- Elahhe Afkhamnejad
- Daniel Afonso
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All providers in Phoenix, AZ · Assisted Living Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.