Bullhead City Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BULLHEAD CITY SENIOR LIVING, LLC

Doing business as

Joshua Springs Senior Living

Practice address

2995 Desert Sky Blvd
Bullhead City, AZ 86442-8855

Phone

(928) 255-1519

NPI assigned

Jan 16, 2019

Last updated

Jan 19, 2023By 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

David Freshwater

Title

Authorized Official

Phone

(520) 797-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Joshua Springs Senior Living Doing business as

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1841764446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 DESERT SKY BLVD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428855",
            "telephone_number": "928-255-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLHEAD CITY SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "FRESHWATER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL9873C",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua Springs Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joshua Springs Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jonathan Burch, M.A., L.P.C.

• Assisted Living Facility in Bullhead City, AZ
• Providers in Bullhead 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 Jan 19, 2023; 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.