Active NPI
Northpointe Senior Assisted Living
- Assisted Living Facility
- Peoria, AZ
National Provider Identifier
1861175473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NORTHPOINTE SENIOR ASSISTED LIVING
- Practice address
- 13172 W Woodstock Rd
Peoria, AZ 85383-6072 - Phone
- (623) 206-7386
- Fax
- (602) 883-7265
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 9, 2023
- 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
- Ms. Evelyn Justimbaste, RN, BSN
- Title
- Ceo
- Phone
- (623) 206-7386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
13172 W Woodstock Rd
Peoria, AZ 85383-6072
Mailing address
6616 W Gold Mountain Pass
Phoenix, AZ 85083-7454
Phone (623) 206-7386
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691539200000",
"number": "1861175473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6616 W GOLD MOUNTAIN PASS",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850837454",
"telephone_number": "623-206-7386",
"fax_number": "602-883-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13172 W WOODSTOCK RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853836072",
"telephone_number": "623-206-7386",
"fax_number": "602-883-7265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHPOINTE SENIOR ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "JUSTIMBASTE",
"authorized_official_first_name": "EVELYN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "623-206-7386",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.