Welbrook Senior Living Flagstaff LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WELBROOK SENIOR LIVING FLAGSTAFF LLC

Practice address

1521 N Pine Cliff Dr
Flagstaff, AZ 86001

Phone

(801) 683-6565

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Matt Rasband

Title

Ceo

Phone

(801) 683-6565

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1255860763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 400 E STE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105094",
            "telephone_number": "801-683-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N PINE CLIFF DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "801-683-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELBROOK SENIOR LIVING FLAGSTAFF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "RASBAND",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-683-6565"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Rae Weidle, OTR/L
• Lauren Marie Weinand, MD
• Lani Kai Weis, LMT
• Adam P Weiss, M.D.
• Jack Gilbert Weiss, CRNA
• Cassidy Welch, MSW, LMSW
• Sherrill L Weller, D.O.
• Briana Truehill Wellington, M.D.
• Aaron Wells, RN
• Bridget Wells, CNM

• Skilled Nursing Facility in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.