Organization Active NPI

Scottsdale Assisted Living LLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1780029835
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8778H Issued in AZ
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

Updated by the provider on May 2, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
717256MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Scottsdale Assised Living2 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": "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

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.

Verify at the official NPI Registry.