Organization Active NPI

Scottsdale Assised Living

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1225323033
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL788OH Issued in AZ
Legal business name
SCOTTSDALE ASSISED LIVING
Practice address
10635 E Rising Sun Dr
Scottsdale, AZ 85262-3083
Phone
(480) 268-7726
Fax
(480) 361-8732
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Helen Dike
Title
Manager
Phone
(480) 268-7726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL788OH AZ Primary

Addresses

Primary practice location

10635 E Rising Sun Dr
Scottsdale, AZ 85262-3083

Mailing address

10635 E Rising Sun Dr
Scottsdale, AZ 85262-3083
Phone (480) 268-7726

Other identifiers 1

IdentifierTypeStateIssuer
399397MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Scottsdale Assised Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1225323033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10635 E RISING SUN DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623083",
            "telephone_number": "480-268-7726",
            "fax_number": "480-361-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 E RISING SUN DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623083",
            "telephone_number": "480-268-7726",
            "fax_number": "480-361-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE ASSISED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "DIKE",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-268-7726"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL788OH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399397",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.