NPIMap

Organization Active NPI

Assisted Living Concepts Inc

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1184746802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALC2327 Issued in AZ
Legal business name
ASSISTED LIVING CONCEPTS INC
Practice address
10401 North 79TH Avenue
Peoria, AZ 85345
Phone
(623) 979-5259
Fax
(623) 773-1917
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Walter A Levonowich
Title
Vice President and Controller
Phone
(414) 908-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALC2327 AZ Primary

Addresses

Primary practice location

10401 North 79TH Avenue
Peoria, AZ 85345

Mailing address

111 W Michigan Street
9TH Floor
Milwaukee, WI 53203
Phone (414) 908-8800

Other identifiers 1

IdentifierTypeStateIssuer
483694MedicaidAZ

Other names 1

  • Baldwin House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living Concepts Inc213 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184746802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MICHIGAN STREET",
            "address_2": "9TH FLOOR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53203",
            "telephone_number": "414-908-8800",
            "fax_number": "414-908-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 NORTH 79TH AVENUE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85345",
            "telephone_number": "623-979-5259",
            "fax_number": "623-773-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVONOWICH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CONTROLLER",
        "authorized_official_telephone_number": "414-908-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC2327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483694",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwin House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.