Alexander Komerdelj

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

15663 E Richwood Ave
Fountain Hills, AZ 85268-1531

Phone

(480) 415-5721

Fax

(480) 837-4803

NPI assigned

Apr 20, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nurtured Valley Assisted Living, LLC

  • Assisted Living Facility
  • Fountain Hills, AZ
  • NPI 1902646540
  NPD Authorized official

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1821843004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15743 E JERICHO DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683912",
            "telephone_number": "480-415-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15663 E RICHWOOD AVE",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852681531",
            "telephone_number": "480-415-5721",
            "fax_number": "480-837-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMERDELJ",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kline, DPT
• Paul Knott, PHARMD
• Molly Knutson
• Austin Kocchi, DPT
• Kokopelli Eye Care PC
• Allyn Louise Krieger-Fiedler, ND
• Jolene Kring, MS
• Matthew Wade Krug, SLP-CCC
• Jamie May Kuettel, PT, DPT
• Emily Kwan, OT

• Assisted Living Facility in Fountain Hills, AZ
• Providers in Fountain Hills, 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 Apr 20, 2024; 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.