Organization Active NPI

Golden Summers Care Home of Moon Valley

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1164233722
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN SUMMERS CARE HOME OF MOON VALLEY
Practice address
1615 E Le Marche Ave
Phoenix, AZ 85022-3359
Phone
(480) 588-7484
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Jovelyn Kapfer
Title
Member
Phone
(480) 299-6851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1615 E Le Marche Ave
Phoenix, AZ 85022-3359

Mailing address

3834 E Isabella Ave
Mesa, AZ 85206-3805
Phone (480) 417-0671

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1164233722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 E ISABELLA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063805",
            "telephone_number": "480-417-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E LE MARCHE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223359",
            "telephone_number": "480-588-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SUMMERS CARE HOME OF MOON VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "KAPFER",
        "authorized_official_first_name": "JOVELYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-299-6851"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 14, 2025; 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.