Labella Assisted Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

ALH5972 Issued in AZ

Legal business name

LABELLA ASSISTED LIVING

Practice address

1721 Palo Verde Dr
Kingman, AZ 86409-3091

Phone

(928) 757-2736

Fax

(928) 565-7472

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Enid Ballentine

Title

Manager

Phone

(928) 757-2736

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1184825697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 PALO VERDE DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093091",
            "telephone_number": "928-757-2736",
            "fax_number": "928-565-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 PALO VERDE DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093091",
            "telephone_number": "928-757-2736",
            "fax_number": "928-565-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABELLA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BALLENTINE",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-757-2736"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "ALH5972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204863",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Kufeld
• Sean L'Huillier Sr., FNP-C
• Daniela Nicole La Delfa, MD, MHA
• La Laser Center PC, a Professional Medical Corporation
• Frank J. Labarge, R.PH.
• Gary James Lacaze, DDS
• Jill Kristen Lacson, COTA
• Victoria M Laine, M.D.
• Robert Jordan Lakko, D.O.
• Lisa Marie Land, NP-C, ACNPC-AG

• Adult Care Home Facility in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.