Show Low Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHOW LOW ASSISTED LIVING LLC

Practice address

965 Full House LN
Show Low, AZ 85901-4044

Phone

(928) 892-5139

Fax

(928) 251-0774

NPI assigned

Feb 19, 2020

Organization subpart

No

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

Authorized official

Name

Melissa Mayoral

Title

Accounts Manager

Phone

(623) 934-5600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1316570260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47090",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850687090",
            "telephone_number": "623-934-5600",
            "fax_number": "623-934-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 FULL HOUSE LN",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014044",
            "telephone_number": "928-892-5139",
            "fax_number": "928-251-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOW LOW ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "MAYORAL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "623-934-5600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Semingson Green, PTA
• Trevor Sexton, N.D.
• Nathan Levi Shaw, PMHNP
• Michelle Shearer, RN
• Steven K Shelton, DMD
• Show Low Medical Clinic PC
• Show Low Neurology Clinic PC
• Show Low Unified School District #10
• Kimberly Shreeve
• Unknown Siena, O.D.

• Assisted Living Facility in Show Low, AZ
• Providers in Show Low, 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 Feb 19, 2020; 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.