NPIMap

Organization Active NPI

Tempe Life Care Village Inc

Doing business as Friendship Village of Tempe

  • Skilled Nursing Facility
  • Tempe, AZ
National Provider Identifier
1386635134
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCI2646 Issued in AZ
Legal business name
TEMPE LIFE CARE VILLAGE INC
Doing business as
Friendship Village of Tempe
Practice address
2525 E Southern Ave
Tempe, AZ 85282-7741
Phone
(480) 831-3184
Fax
(480) 831-3259
NPI assigned
Nov 1, 2005
Last updated
Feb 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Donald J Cassano
Title
President
Phone
(480) 560-3688

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALC4366 AZ
Alzheimer Center (Dementia Center) 311500000X ALC4711 AZ
Skilled Nursing Facility 314000000X NCI2646 AZ Primary

Addresses

Primary practice location

2525 E Southern Ave
Tempe, AZ 85282-7741

Mailing address

2645 E Southern Ave
Tempe, AZ 85282-7649
Phone (480) 831-0880

Other names 1

  • Friendship Village of Tempe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000832 AZ Part A Provider - Skilled Nursing Facility 8820087653 Practice locations: Tempe, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386635134. Details of each certification follow.

Skilled nursing facility certification: CCN 035074

Legal name
TEMPE LIFE CARE VILLAGE INC
Doing business as
FRIENDSHIP VILLAGE OF TEMPE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Nov 12, 1980
Last certification
Jan 17, 2025
Beds
128
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
2525 E Southern Ave
Tempe, AZ 85282-7741
Nursing home name
FRIENDSHIP VILLAGE OF TEMPE
Affiliated entity
LIFE CARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Friendship Village of TempeCCN 035074 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Other
Certified
Nov 12, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12857.1 residents per day on average
Chain
Life Care Services43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0530543Friendship Village of Tempe2525 E Southern Ave, Tempe, AZ 85282Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ross Richard Reck Individual Corporate OfficerSecretary Jan 1, 2019
Corporate DirectorBoard Member Aug 2, 2016
Emily Garba Individual Operational/Managerial Control May 1, 2026
Adp of the SNF May 7, 2026
Shelley Foster Individual Corporate DirectorBoard Member Jan 1, 2022
Marc D Pulsifer Individual Corporate OfficerPresident Jan 1, 2019
Corporate DirectorBoard Member Jan 6, 2009
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Mar 1, 1980
Adp of the SNF May 2, 2025
Donald Cassano Individual Corporate DirectorBoard Member Jan 2, 1983
Suzanne M Combs Individual Operational/Managerial Control Sep 1, 2018
Adp of the SNF Apr 23, 2025
Cole T Marvin Individual Operational/Managerial ControlExecutive Director Mar 1, 2007
Cathlene Crawford Individual Corporate DirectorBoard Member Jun 8, 2021
Darrell D Jensen Individual Corporate OfficerVice President Jan 1, 2025
Corporate DirectorBoard Member Nov 1, 2017
Kevin Camberg Individual Corporate DirectorBoard Member Jan 1, 2024
The Bank of New York Mellon Trust Company Organization, Houston, TX Financial institution, For-profit 5% Or Greater Security Interest Oct 4, 2021 47%
Todd a Pearson Individual Corporate OfficerTreasurer Jan 1, 2024
Corporate DirectorBoard Member Jan 1, 2020
Tempe Life Care Village Inc Organization, Tempe, AZ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 4, 2012 100%
Corey D Woods Individual Corporate DirectorBoard Member Jan 6, 2015
Shirley L Wells Individual Corporate DirectorBoard Member Feb 1, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 57

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 57

Practitioners & affiliated clinicians

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1386635134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827649",
            "telephone_number": "480-831-0880",
            "fax_number": "480-831-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827741",
            "telephone_number": "480-831-3184",
            "fax_number": "480-831-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPE LIFE CARE VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "CASSANO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-560-3688"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC4366",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AZ",
            "license": "ALC4711",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Village of Tempe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.