Active NPI
Scottsdale Assisted Living LLC
- Assisted Living Facility
- Scottsdale, AZ
National Provider Identifier
1780029835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL8778H
- Legal business name
- SCOTTSDALE ASSISTED LIVING LLC
- Practice address
- 6215 E Shea Blvd
Scottsdale, AZ 85254-5425 - Phone
- (480) 268-7726
- Fax
- (480) 361-8732
- NPI assigned
- May 2, 2013
- 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
- Mrs. Helen Dike
- Title
- Ceo/ Manager
- Phone
- (480) 268-7726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL8778H | AZ | Primary |
Addresses
Primary practice location
6215 E Shea Blvd
Scottsdale, AZ 85254-5425
Mailing address
6215 E Shea Blvd
Scottsdale, AZ 85254-5425
Phone (480) 268-7726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 717256 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Scottsdale Assised Living
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Scottsdale, AZ
- NPI 1225323033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367452800000",
"number": "1780029835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6215 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852545425",
"telephone_number": "480-268-7726",
"fax_number": "480-361-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852545425",
"telephone_number": "480-268-7726",
"fax_number": "480-361-8732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTTSDALE ASSISTED LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-02",
"last_updated": "2013-05-02",
"status": "A",
"authorized_official_last_name": "DIKE",
"authorized_official_first_name": "HELEN",
"authorized_official_title_or_position": "CEO/ MANAGER",
"authorized_official_telephone_number": "480-268-7726",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL8778H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "717256",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Scottsdale and Shea Dental Group, LLP
- Scottsdale Anesthesia Associates PLC
- Scottsdale Anesthesia Consultants LLC
- Scottsdale Anesthesia Group,LLC
- Scottsdale Assised Living
- Scottsdale Az Al Opco LLC
- Scottsdale Az Opco LLC
- Scottsdale Bariatric Center
- Scottsdale Behavioral Health
- Scottsdale Behvioral Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.