Desert Lake Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH5646 Issued in AZ

Legal business name

DESERT LAKE ASSISTED LIVING HOME

Doing business as

Steven A. Lazorchak

Practice address

1040 N Villas LN
Chandler, AZ 85224-9006

Phone

(480) 821-0203

Fax

(480) 821-0203

NPI assigned

Jun 2, 2007

Last updated

Aug 11, 2008By 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

Steven Alexander Lazorchak, MBA

Title

Owner

Phone

(480) 855-1975

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Steven A. Lazorchak Doing business as

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

{
    "created_epoch": "1180742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1235331216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 W CROCUS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N VILLAS LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249006",
            "telephone_number": "480-821-0203",
            "fax_number": "480-821-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT LAKE ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-02",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "LAZORCHAK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-855-1975",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH5646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "ALH5646",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTCS PROVER NUMBER",
            "identifier": "A195847",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven A. Lazorchak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Chandler, AZ
• Providers in Chandler, 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 11, 2008; 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.