Organization Active NPI

Scottsdale Heritage Assisted Living, LLC

  • Assisted Living Facility
  • Goodyear, AZ
National Provider Identifier
1609703610
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SCOTTSDALE HERITAGE ASSISTED LIVING, LLC
Practice address
17985 W Ashley Dr
Goodyear, AZ 85338-6098
Phone
(480) 272-1967
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Alexander Harris
Title
Owner
Phone
(480) 272-1967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17985 W Ashley Dr
Goodyear, AZ 85338-6098

Mailing address

17985 W Ashley Dr
Goodyear, AZ 85338-6098
Phone (480) 272-1967

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1609703610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17985 W ASHLEY DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386098",
            "telephone_number": "480-272-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17985 W ASHLEY DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386098",
            "telephone_number": "480-272-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE HERITAGE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-272-1967"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.