NPIMap

Organization Active NPI

Arcadia Assisted Care, LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1144766916
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8891H Issued in AZ
Legal business name
ARCADIA ASSISTED CARE, LLC
Practice address
4912 N 45TH PL
Phoenix, AZ 85018-2802
Phone
(602) 952-9062
Fax
(602) 954-0639
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Mr. Brooke Blair
Title
Managing Member
Phone
(602) 410-8698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8891H AZ Primary

Addresses

Primary practice location

4912 N 45TH PL
Phoenix, AZ 85018-2802

Mailing address

3714 E Piccadilly Rd
Phoenix, AZ 85018-5133
Phone (602) 952-9062

Other identifiers 1

IdentifierTypeStateIssuer
781469MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Arcadia Assisted Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1144766916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 E PICCADILLY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185133",
            "telephone_number": "602-952-9062",
            "fax_number": "602-954-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 N 45TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182802",
            "telephone_number": "602-952-9062",
            "fax_number": "602-954-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA ASSISTED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-410-8698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8891H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781469",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.