Organization Active NPI

North Haven Assisted Living Home LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1467023531
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NORTH HAVEN ASSISTED LIVING HOME LLC
Practice address
3943 E Lupine Ave
Phoenix, AZ 85028-2128
Phone
(602) 919-9201
Fax
(602) 607-5791
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Lorena Craciun
Title
Owner
Phone
(602) 919-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3943 E Lupine Ave
Phoenix, AZ 85028-2128

Mailing address

3943 E Lupine Ave
Phoenix, AZ 85028-2128
Phone (602) 919-9201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1467023531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 E LUPINE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850282128",
            "telephone_number": "602-919-9201",
            "fax_number": "602-607-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 E LUPINE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850282128",
            "telephone_number": "602-919-9201",
            "fax_number": "602-607-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HAVEN ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "CRACIUN",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-919-9201"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.