RB Deer Valley Seniors LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RB DEER VALLEY SENIORS LLC

Doing business as

Deer Valley Senior Living

Practice address

20221 N 29TH Ave
Phoenix, AZ 85027-3133

Phone

(623) 233-5277

NPI assigned

Jan 18, 2022

Last updated

Jan 18, 2022By 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

Mr. Steven Bruckal

Title

Owner Representative

Phone

(480) 309-4163

Specialties & licenses 1

Addresses

Other names 1

• Deer Valley Senior Living Doing business as

Locations

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1861143158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N 32ND ST STE 100F",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20221 N 29TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273133",
            "telephone_number": "623-233-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RB DEER VALLEY SENIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "BRUCKAL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER REPRESENTATIVE",
        "authorized_official_telephone_number": "480-309-4163",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Valley Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sameera Raza, MD
• Russ Razinn, MANAGER
• Patricia Razo
• Wendy Razo
• Luke William Razzante
• Ann Rea, L.AC.
• Emily Rea, L.AC.
• Joanna Danielle Rea, LAMFT
• Joseph M Rea, M.A.
• Reach Chiropractic

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, 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 18, 2022; 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.