Comfort Care Assisted Living Centers, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

09353 SUSAN REILY Issued in AZ

Legal business name

COMFORT CARE ASSISTED LIVING CENTERS, LLC

Practice address

3440 S Gillenwater Dr
Flagstaff, AZ 86001-8516

Phone

(708) 516-3656

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ishmael Rideaux

Title

Owner

Phone

(708) 516-3656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1902107444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74824",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850871015",
            "telephone_number": "708-516-3656",
            "fax_number": "866-263-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S GILLENWATER DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018516",
            "telephone_number": "708-516-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE ASSISTED LIVING CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "RIDEAUX",
        "authorized_official_first_name": "ISHMAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-516-3656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "09353 SUSAN REILY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Flagstaff, AZ
• Providers in Flagstaff, 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 Nov 16, 2010; 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.