Slo Encanto Palms LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALC4911 Issued in AZ

Legal business name

SLO ENCANTO PALMS LLC

Practice address

3901 W Encanto Blvd
Phoenix, AZ 85009-1241

Phone

(602) 352-0000

Fax

(602) 272-6533

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Krohn

Title

Executive Director

Phone

(602) 352-0000

Specialties & licenses 1

Addresses

Other names 1

• Encanto Palms Assisted Living Doing business as

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700083508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W ENCANTO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850091241",
            "telephone_number": "602-352-0000",
            "fax_number": "602-272-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W ENCANTO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850091241",
            "telephone_number": "602-352-0000",
            "fax_number": "602-272-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLO ENCANTO PALMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-352-0000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC4911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encanto Palms Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.