NPIMap

Organization Active NPI

Assisted Lifestyles

  • Preferred Provider Organization
  • Flagstaff, AZ
National Provider Identifier
1649718347
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ASSISTED LIFESTYLES
Practice address
4385 E Wild Elk TRL
Flagstaff, AZ 86004-7921
Phone
(928) 326-0044
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Mr. Dwight C Boyd
Title
Ceo
Phone
(928) 326-0044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X AZ Primary
Private Vehicle 347C00000X AZ

Addresses

Primary practice location

4385 E Wild Elk TRL
Flagstaff, AZ 86004-7921

Mailing address

4385 E Wild Elk TRL
Flagstaff, AZ 86004-7921
Phone (928) 326-0044

National Provider Directory

National Provider Directory
Tax ID family
Assisted Lifestyles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1649718347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 E WILD ELK TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047921",
            "telephone_number": "928-326-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 E WILD ELK TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047921",
            "telephone_number": "928-326-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIFESTYLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-326-0044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.