NPIMap

Organization Active NPI

Ironwood Assisted Living Home, LLC

  • Assisted Living Facility
  • Apache Junction, AZ
National Provider Identifier
1386010759
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9190H Issued in AZ
Legal business name
IRONWOOD ASSISTED LIVING HOME, LLC
Practice address
1226 W 13TH Ave
Apache Junction, AZ 85120-6269
Phone
(480) 474-2111
Fax
(480) 474-2111
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Ms. Alma Labuan Henningsen
Title
Owner
Phone
(480) 474-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9190H AZ Primary

Addresses

Primary practice location

1226 W 13TH Ave
Apache Junction, AZ 85120-6269

Mailing address

1226 W 13TH Ave
Apache Junction, AZ 85120-6269
Phone (480) 474-2111

National Provider Directory

National Provider Directory
Tax ID family
Aracely B Alcala Dba Candle Light HCS4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1386010759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 W 13TH AVE",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206269",
            "telephone_number": "480-474-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W 13TH AVE",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206269",
            "telephone_number": "480-474-2111",
            "fax_number": "480-474-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONWOOD ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "HENNINGSEN",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "LABUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-474-2111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9190H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.