Organization Active NPI

Glencroft Towers I, Inc.

  • Assisted Living Facility
  • Glendale, AZ
National Provider Identifier
1194906636
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL6605C Issued in AZ
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

Updated by the provider on Oct 7, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.