Ivy Lane Assisted Living,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IVY LANE ASSISTED LIVING,LLC

Practice address

18379 W Ivy LN
Surprise, AZ 85388-2367

Phone

(623) 544-2805

Fax

(623) 399-6561

NPI assigned

Dec 24, 2017

Last updated

Oct 12, 2026By 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

Denisa Kaporalis

Title

Manager

Phone

(602) 339-3617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1376059550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18379 W IVY LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882367",
            "telephone_number": "623-544-2805",
            "fax_number": "623-399-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18379 W IVY LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882367",
            "telephone_number": "623-544-2805",
            "fax_number": "623-399-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY LANE ASSISTED LIVING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-24",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "KAPORALIS",
        "authorized_official_first_name": "DENISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-339-3617"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Surprise, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.