Active NPI
Sanctuary 1 Assisted Living
- Assisted Living Facility (Behavioral Disturbances)
- Glendale, AZ
National Provider Identifier
1821896671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- Legal business name
- SANCTUARY 1 ASSISTED LIVING
- Practice address
- 3870 W Alameda Rd
Glendale, AZ 85310-3302 - Phone
- (623) 434-2185
- NPI assigned
- Mar 6, 2025
- 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
- Kevin L Williams, ASSISTED LIVING MANA
- Title
- Owner
- Phone
- (623) 632-7171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | Primary |
Addresses
Primary practice location
3870 W Alameda Rd
Glendale, AZ 85310-3302
Mailing address
3870 W Alameda Rd
Glendale, AZ 85310-3302
Phone (623) 434-2185
Other names 1
- Kevin L Williams
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Non-emergency Medical Transport (VAN)
- Glendale, AZ
- NPI 1164720231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1821896671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3870 W ALAMEDA RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853103302",
"telephone_number": "623-434-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3870 W ALAMEDA RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853103302",
"telephone_number": "623-434-2185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUARY 1 ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-632-7171",
"authorized_official_credential": "ASSISTED LIVING MANA"
},
"taxonomies": [
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kevin L Williams",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.