Active NPI
Glencroft Towers I, Inc.
- Assisted Living Facility
- Glendale, AZ
National Provider Identifier
1194906636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL6605C
- Legal business name
- GLENCROFT TOWERS I, INC.
- Practice address
- 8620 N 65TH Ave
Glendale, AZ 85302-4330 - Phone
- (623) 847-3012
- Fax
- (623) 937-9130
- NPI assigned
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan M Hornbostel
- Title
- Vice President of Finance/Cfo
- Phone
- (623) 847-3006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL6605C | AZ | Primary |
Addresses
Primary practice location
8620 N 65TH Ave
Glendale, AZ 85302-4330
Mailing address
8611 N 67TH Ave
Glendale, AZ 85302-4351
Phone (623) 847-3006
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254873600000",
"number": "1194906636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8611 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024351",
"telephone_number": "623-847-3006",
"fax_number": "623-842-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8620 N 65TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024330",
"telephone_number": "623-847-3012",
"fax_number": "623-937-9130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENCROFT TOWERS I, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2009-10-07",
"status": "A",
"authorized_official_last_name": "HORNBOSTEL",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE/CFO",
"authorized_official_telephone_number": "623-847-3006",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL6605C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.