Prestige Assisted Living at Claremont

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

07-00003187 Issued in AZ

Legal business name

PRESTIGE ASSISTED LIVING AT CLAREMONT

Practice address

1221 Claremont Dr
Lake Havasu City, AZ 86406-8684

Phone

(928) 855-4843

Fax

(928) 855-2987

NPI assigned

Feb 23, 2007

Last updated

Jul 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Erica Ann Roach

Title

Administrative Assistant

Phone

(928) 855-4843

Specialties & licenses 1

Addresses

Tax ID family

Lake Havasu Too 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.

• Lake Havasu Too, LLC

  dba Prestige Assisted Living at Claremont

  • Assisted Living Facility
  • Lake Havasu City, AZ
  • NPI 1790812436
  NPD tax ID

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1780719039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 CLAREMONT DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068684",
            "telephone_number": "928-855-4843",
            "fax_number": "928-855-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CLAREMONT DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068684",
            "telephone_number": "928-855-4843",
            "fax_number": "928-855-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ASSISTED LIVING AT CLAREMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "928-855-4843",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "07-00003187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne A Prater
• Michael Edward Prater, M.D.
• Rajitha L Premaratne, M.D.
• Prescott Vamc
• Edward Jonathan Presser, PT, DPT
• Michele Ann Preston, D.O
• Brittany Prevallet, MA, CCC-SLP
• Prima Medical Care LLC
• Progressive Rehabilitation Orthopedic Therapy, Inc
• Pulmonary Associates of Northwestern Arizona, PLLC

• Assisted Living Facility in Lake Havasu City, AZ
• Providers in Lake Havasu City, 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 Jul 7, 2008; 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.