Organization Active NPI

King Assisted Living LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1548637820
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9443H Issued in AZ
Legal business name
KING ASSISTED LIVING LLC
Practice address
3424 E Monte Cristo Ave
Phoenix, AZ 85032-3800
Phone
(602) 820-9498
Fax
(602) 535-4888
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Kinga A Tomos
Title
Owner
Phone
(602) 820-9498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9443H AZ Primary

Addresses

Primary practice location

3424 E Monte Cristo Ave
Phoenix, AZ 85032-3800

Mailing address

3318 E Marconi Ave
Phoenix, AZ 85032-3865
Phone (602) 820-9498

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1548637820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 E MARCONI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323865",
            "telephone_number": "602-820-9498",
            "fax_number": "602-535-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 E MONTE CRISTO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323800",
            "telephone_number": "602-820-9498",
            "fax_number": "602-535-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "TOMOS",
        "authorized_official_first_name": "KINGA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-820-9498"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9443H",
            "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 Aug 21, 2015; 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.