Organization Active NPI

Valley Lighthouse Assisted Living LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1336716232
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VALLEY LIGHTHOUSE ASSISTED LIVING LLC
Practice address
27411 N 64TH Dr
Phoenix, AZ 85083-7565
Phone
(623) 234-9518
Fax
(623) 234-9518
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Viorica Gheju
Title
Owner
Phone
(602) 931-5808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

27411 N 64TH Dr
Phoenix, AZ 85083-7565

Mailing address

27411 N 64TH Dr
Phoenix, AZ 85083-7565
Phone (623) 234-9518

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1336716232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27411 N 64TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837565",
            "telephone_number": "623-234-9518",
            "fax_number": "623-234-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27411 N 64TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837565",
            "telephone_number": "623-234-9518",
            "fax_number": "623-234-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY LIGHTHOUSE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "GHEJU",
        "authorized_official_first_name": "VIORICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-931-5808"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.