Phoenix Jewish Community Kivel Nursing Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALC-5831 Issued in AZ

Legal business name

PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME

Doing business as

Kivel Manor Assisted Living Center

Practice address

3040 N 36TH St
Kivel Manor Assisted Living
Phoenix, AZ 85018

Phone

(602) 443-8020

Fax

(602) 957-9493

NPI assigned

Jul 27, 2006

Last updated

Sep 29, 2021By 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

Mr. Ira Shulman

Title

Ceo

Phone

(602) 443-8020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Kivel Manor Assisted Living Center Doing business as
• Phoenix Jewish Community Kivel Nursing Home Former legal business name

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1225052814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 N 36TH ST",
            "address_2": "KIVEL MANOR ASSISTED LIVING",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "602-443-8020",
            "fax_number": "602-957-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N 36TH ST",
            "address_2": "KIVEL MANOR ASSISTED LIVING",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "602-443-8020",
            "fax_number": "602-957-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-443-8020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-5831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kivel Manor Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix Jewish Community Kivel Nursing Home",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Phoenix Jewish Community Kivel Nursing Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Phoenix Institute of Cardiology
• Phoenix Institute of Footcare Physicans, PLC
• Phoenix Interfaith Counseling
• Phoenix Internal Medicine Group PLC
• Phoenix Interventional Pain Management, PLLC
• Phoenix Kidney Specialists PLLC
• Phoenix Lab & Ancillary Services
• Phoenix Life Center Inc
• Phoenix Medical Collaborative LLC
• Phoenix Medical Imaging

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, 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 Sep 29, 2021; 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.