Arizona Sunshine Assisted Living LLC

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

ARIZONA SUNSHINE ASSISTED LIVING LLC

Practice address

6008 W Paradise LN
Glendale, AZ 85306-2345

Phone

(623) 226-8006

Fax

(480) 718-7431

NPI assigned

Sep 11, 2025

Last updated

Sep 11, 2025By 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

Jennifer Kelley

Title

Owner

Phone

(619) 914-2709

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1437030715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 W PARADISE LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062345",
            "telephone_number": "623-226-8006",
            "fax_number": "480-718-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 W PARADISE LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062345",
            "telephone_number": "623-226-8006",
            "fax_number": "480-718-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SUNSHINE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-914-2709"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.