Organization Active NPI

Inge's Uniquely Warm Assisted Living LLC

  • Assisted Living Facility
  • Camp Verde, AZ
National Provider Identifier
1417747429
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
INGE'S UNIQUELY WARM ASSISTED LIVING LLC
Practice address
1625 S Sullivan LN
Camp Verde, AZ 86322-6871
Phone
(503) 607-4519
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Ryan Matthew Weaks, MANAGER
Title
Manager
Phone
(503) 607-4519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1625 S Sullivan LN
Camp Verde, AZ 86322-6871

Mailing address

1620 N 25TH PL
Phoenix, AZ 85008-3515
Phone (503) 607-4519

Other practice location 1

1620 N 25th Pl
Phoenix, AZ 85008-3515
Phone (503) 607-4519

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1417747429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N 25TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083515",
            "telephone_number": "503-607-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S SULLIVAN LN",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863226871",
            "telephone_number": "503-607-4519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 N 25th Pl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850083515",
            "country_code": "US",
            "telephone_number": "503-607-4519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INGE'S UNIQUELY WARM ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "WEAKS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-607-4519",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.