Stevens Asisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1400030820 Issued in AZ

Legal business name

STEVENS ASISTED LIVING HOME

Practice address

871 Thunderbolt Ave
Lake Havasu City, AZ 86406-7803

Phone

(928) 453-2282

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Clara Ann Stevens

Title

Owner

Phone

(928) 453-2282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1487054292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 THUNDERBOLT AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067803",
            "telephone_number": "928-453-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 THUNDERBOLT AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067803",
            "telephone_number": "928-453-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS ASISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-453-2282"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "1400030820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Staley, PMHNP
• Statewide Express
• Caroline Steele
• Jessica Anne Stello, SLPA
• Alana Stern, PA-C
• Storybook ABA Az LLC
• Taylor Stout
• Paula Rae Struve
• Stuart Adams O.D. PC
• Justin Stucki, DMD

• Assisted Living Facility in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.