Active NPI
King Assisted Living LLC
- Assisted Living Facility
- Phoenix, AZ
National Provider Identifier
1548637820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL9443H
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.