Arizona Senior Life LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ARIZONA SENIOR LIFE LLC

Doing business as

Arizona Senior Life LLC DBA Apex transitional housing Inc

Practice address

2134 E Palm LN
Phoenix, AZ 85006-2405

Phone

(602) 275-5955

Fax

(480) 659-3825

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lea Tallo

Title

Owner

Phone

(605) 310-1940

Specialties & licenses 1

Addresses

Other names 1

• Arizona Senior Life LLC DBA Apex transitional housing Inc Doing business as

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1164014197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W WEATHERBY WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852868443",
            "telephone_number": "605-310-1940",
            "fax_number": "480-659-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 E PALM LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062405",
            "telephone_number": "602-275-5955",
            "fax_number": "480-659-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SENIOR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "TALLO",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-310-1940"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Senior Life LLC DBA Apex transitional housing Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.