North Beverly Assisted Living LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

NORTH BEVERLY ASSISTED LIVING LLC

Practice address

16237 N 35TH Dr
Phoenix, AZ 85053-2916

Phone

(480) 280-6535

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Ma Theresa D Rogers

Title

Owner

Phone

(480) 280-6535

Specialties & licenses 1

Addresses

Other names 1

• N BEVERLY ASSISTED LIVING LLC Other name

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1851152136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 N 55TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023203",
            "telephone_number": "480-280-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16237 N 35TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532916",
            "telephone_number": "480-280-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BEVERLY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MA THERESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-280-6535"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N BEVERLY ASSISTED LIVING LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Care Home Facility in Phoenix, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.