NPIMap

Organization Active NPI

Leisure Living

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1457565699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH3199 Issued in AZ
Legal business name
LEISURE LIVING
Practice address
8424 E Via de Encanto
Scottsdale, AZ 85258-3908
Phone
(480) 348-0759
Fax
(480) 348-1531
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Clint C Zimmerman II, MANAGER
Title
Owner
Phone
(480) 348-0759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH3199 AZ Primary

Addresses

Primary practice location

8424 E Via de Encanto
Scottsdale, AZ 85258-3908

Mailing address

8424 E Via de Encanto
Scottsdale, AZ 85258-3908
Phone (480) 348-0759

Other names 1

  • encanto place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Encanto Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457565699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 E VIA DE ENCANTO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583908",
            "telephone_number": "480-348-0759",
            "fax_number": "480-348-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 E VIA DE ENCANTO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583908",
            "telephone_number": "480-348-0759",
            "fax_number": "480-348-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-348-0759",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH3199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "encanto place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.