Sonoran Foothills Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SONORAN FOOTHILLS ASSISTED LIVING LLC

Practice address

1830 W Dusty Wren Dr
Phoenix, AZ 85085-8061

Phone

(480) 208-4354

Fax

(480) 685-3134

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Marcela Bogdan

Title

Owner

Phone

(480) 208-4354

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1174330344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 W DUSTY WREN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858061",
            "telephone_number": "480-208-4354",
            "fax_number": "480-685-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 W DUSTY WREN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858061",
            "telephone_number": "480-208-4354",
            "fax_number": "480-685-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN FOOTHILLS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "BOGDAN",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-208-4354"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.