Organization Active NPI

New Way Assisted Living, LLC

  • Attendant Care Provider
  • Chandler, AZ
National Provider Identifier
1710337175
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
121944 Issued in AZ
Legal business name
NEW WAY ASSISTED LIVING, LLC
Practice address
2109 W Western Dr
Chandler, AZ 85224-1150
Phone
(602) 708-4556
Fax
(480) 452-0207
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Stacy Marie Flood
Title
Sole Member
Phone
(602) 708-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X 121944 AZ Primary

Addresses

Primary practice location

2109 W Western Dr
Chandler, AZ 85224-1150

Mailing address

2109 W Western Dr
Chandler, AZ 85224-1150
Phone (602) 708-4556

Other identifiers 1

IdentifierTypeStateIssuer
121944OtherAZARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

National Provider Directory

National Provider Directory
Tax ID family
New Way Assisted Living LLC2 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": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1710337175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 W WESTERN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241150",
            "telephone_number": "602-708-4556",
            "fax_number": "480-452-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 W WESTERN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241150",
            "telephone_number": "602-708-4556",
            "fax_number": "480-452-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAY ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "602-708-4556"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "AZ",
            "license": "121944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM",
            "identifier": "121944",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.