Organization Active NPI

Well Heeled Adult Care Sweetwater LLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1417841107
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WELL HEELED ADULT CARE SWEETWATER LLC
Practice address
6739 E Sweetwater Ave
Scottsdale, AZ 85254-4586
Phone
(602) 592-5391
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Yanireth Montijo
Title
Manager
Phone
(602) 592-5391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6739 E Sweetwater Ave
Scottsdale, AZ 85254-4586

Mailing address

6739 E Sweetwater Ave
Scottsdale, AZ 85254-4586
Phone (602) 592-5391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1417841107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 E SWEETWATER AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544586",
            "telephone_number": "602-592-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 E SWEETWATER AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544586",
            "telephone_number": "602-592-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL HEELED ADULT CARE SWEETWATER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "MONTIJO",
        "authorized_official_first_name": "YANIRETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-592-5391"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.