Ark Assisted Living Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7848H Issued in AZ

Legal business name

ARK ASSISTED LIVING HOME, LLC

Doing business as

ARK Assisted Living Home

Practice address

9751 E Becker LN
Scottsdale, AZ 85260-6205

Phone

(480) 661-4331

Fax

(480) 661-4331

NPI assigned

Jun 25, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Minurokh Mohajer-Jasbi

Title

Owner/Manager

Phone

(480) 661-4331

Specialties & licenses 1

Addresses

Other names 1

• ARK Assisted Living Home Doing business as

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1376854216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 E BECKER LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606205",
            "telephone_number": "480-661-4331",
            "fax_number": "480-661-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 E BECKER LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606205",
            "telephone_number": "480-661-4331",
            "fax_number": "480-661-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "MOHAJER-JASBI",
        "authorized_official_first_name": "MINUROKH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-661-4331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL7848H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARK Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.