Jolley Family Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH 2643 Issued in AZ

Legal business name

JOLLEY FAMILY ASSISTED LIVING HOME

Practice address

20106 W Broadway Rd
Buckeye, AZ 85326-5753

Phone

(623) 327-0995

Fax

(623) 327-0996

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Fay Ester Jolley-Webster

Title

Manager

Phone

(623) 327-0995

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215096516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20110 W BROADWAY RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853265753",
            "telephone_number": "623-386-2201",
            "fax_number": "623-386-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20106 W BROADWAY RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853265753",
            "telephone_number": "623-327-0995",
            "fax_number": "623-327-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLEY FAMILY ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOLLEY-WEBSTER",
        "authorized_official_first_name": "FAY",
        "authorized_official_middle_name": "ESTER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-327-0995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH 2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529951",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody J Jimenez, COTA
• Kaci Lynn Jimenez
• Alfateshesia Johnson, FNP-BC
• Barry Todd Johnson, MPAS, PA-C
• Michael James Johnson
• Jolley Family Assisted Living III
• Jolley Family Behavioral Health
• Scott Jonason, PA-C
• Bertha Jones, PMHNP
• Chantel Marie Jones

• Assisted Living Facility in Buckeye, AZ
• Providers in Buckeye, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.