Organization Active NPI

Desert Winds Assisted Living

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1295059798
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL2539C Issued in AZ
Legal business name
DESERT WINDS ASSISTED LIVING
Practice address
20545 N Lake Pleasant Rd
Peoria, AZ 85382-2577
Phone
(623) 322-0600
Fax
(623) 322-0610
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Kristen Stevenson
Title
Corporate Controller
Phone
(480) 348-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL2539C AZ Primary

Addresses

Primary practice location

20545 N Lake Pleasant Rd
Peoria, AZ 85382-2577

Mailing address

8432 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6668
Phone (480) 348-0300

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1060408Desert Winds Assisted Living20545 N Lake Pleasant Rd, Peoria, AZ 85382Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Locations

8432 E Shea Blvd
Ste 100
Scottsdale, AZ 85260

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1295059798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8432 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606668",
            "telephone_number": "480-348-0300",
            "fax_number": "480-348-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20545 N LAKE PLEASANT RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822577",
            "telephone_number": "623-322-0600",
            "fax_number": "623-322-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT WINDS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CORPORATE CONTROLLER",
        "authorized_official_telephone_number": "480-348-0300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL2539C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.