Assisted Senior Living Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ASSISTED SENIOR LIVING CARE, LLC

Doing business as

Assisted Senior Living Care, LLC

Practice address

4149 E Greenway Cir
Mesa, AZ 85205-4036

Phone

(708) 237-9000

Fax

(708) 237-1577

NPI assigned

Feb 20, 2019

Last updated

Feb 20, 2019By 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

Mr. Isa Riadi

Title

Director

Phone

(219) 985-4433

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Assisted Senior Living Care, LLC Doing business as

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1386101822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 S HARLEM AVE STE G",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551775",
            "telephone_number": "219-985-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 E GREENWAY CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054036",
            "telephone_number": "708-237-9000",
            "fax_number": "708-237-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8331 E Monterey Way",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515937",
            "country_code": "US",
            "telephone_number": "708-237-9000",
            "fax_number": "708-237-1577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSISTED SENIOR LIVING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "RIADI",
        "authorized_official_first_name": "ISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-985-4433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473403",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473072",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Senior Living Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aspire Homecare Services LLC
• Kimberly Assaker, M.S., R.D., C.D.E.
• Joseph Assan-Mensah
• Assisted Living & Care, Inc.
• Assisted Living Concepts Inc (Cameron House)
• Associated Desert Gastroenterologists PC
• Associated Geriatric Clinics of Arizona Inc
• Associated Hearing AIDS, Inc. (Avada Hearing Care Centers of Arizona)
• Associated Medical Group, LLC.
• Associated Ophthalmologist, LTD (Arizona Eye Specialist)

• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.