Active NPI
New Way Assisted Living, LLC
- Attendant Care Provider
- Chandler, AZ
National Provider Identifier
1710337175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 121944
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121944 | Other | AZ | ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM |
National Provider Directory
National Provider Directory- Tax ID family
- New Way Assisted Living LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Chandler, AZ
- NPI 1467800136
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.