Arizona Seniors 2024 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARIZONA SENIORS 2024 LLC

Practice address

5408 Highway 260
Lakeside, AZ 85929-5791

Phone

(928) 532-4600

NPI assigned

Oct 21, 2025

Organization subpart

No

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

Authorized official

Name

Michael Kennedy

Title

Manager

Phone

(702) 401-0005

Specialties & licenses 1

Addresses

Other names 1

• Pinetop Senior Living Doing business as

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1376410563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 HIGHWAY 260",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295791",
            "telephone_number": "928-532-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 HIGHWAY 260",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295791",
            "telephone_number": "928-532-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SENIORS 2024 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-401-0005"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinetop Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Health and Wellness Az
• Akdhc, LLC
• Akdhc, LLC
• Marilou Cabrera Areno, SCHOOL PSYCHOLOGIST
• Arizona Heart Specialists PLLC
• Avalon Biotechnical Corporation
• Joseph Gordon Badgett, LPCA
• Banner Health
• Banner Urgent Care Arizona LLC
• Banner Urgent Care Arizona LLC

• All providers in Lakeside, AZ
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.