Organization Active NPI

Letis Home at Mescal LLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1114856168
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LETIS HOME AT MESCAL LLC
Practice address
5249 E Tierra Buena LN
Scottsdale, AZ 85254-1768
Phone
(480) 995-6400
NPI assigned
May 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Kenneth Washington
Title
Ceo
Phone
(480) 522-5775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5249 E Tierra Buena LN
Scottsdale, AZ 85254-1768

Mailing address

5249 E Tierra Buena LN
Scottsdale, AZ 85254-1768
Phone (480) 995-6400

Other names 1

  • Sunflower Grove Assisted Living 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": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1114856168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 E TIERRA BUENA LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541768",
            "telephone_number": "480-995-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 E TIERRA BUENA LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541768",
            "telephone_number": "480-995-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETIS HOME AT MESCAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-522-5775"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunflower Grove Assisted Living",
            "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 May 15, 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.