Organization Active NPI

The Lingenfelter Center

Doing business as Helen's Place Assisted Living

  • Assisted Living Facility
  • Kingman, AZ
National Provider Identifier
1669604542
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH4336 Issued in AZ
Legal business name
THE LINGENFELTER CENTER
Doing business as
Helen's Place Assisted Living
Practice address
1025 Sunrise Ave
Kingman, AZ 86401-6825
Phone
(928) 718-2021
Fax
(928) 718-4856
NPI assigned
Aug 11, 2009
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Fred B Lingenfelter
Title
Chairman of the Board
Phone
(928) 718-4852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH4336 AZ Primary

Addresses

Primary practice location

1025 Sunrise Ave
Kingman, AZ 86401-6825

Mailing address

1025 Sunrise Ave
Kingman, AZ 86401-6825
Phone (928) 718-2021

Other identifiers 1

IdentifierTypeStateIssuer
792392MedicaidAZ

Other names 1

  • Helen's Place Assisted Living Doing business as

National Provider Directory

National Provider Directory

Locations

1025 E Sunrise Ave
Kingman, AZ 86401
Phone (928) 718-2021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1669604542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SUNRISE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016825",
            "telephone_number": "928-718-2021",
            "fax_number": "928-718-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SUNRISE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016825",
            "telephone_number": "928-718-2021",
            "fax_number": "928-718-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LINGENFELTER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "LINGENFELTER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "928-718-4852"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH4336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "792392",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helen's Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.