Organization Active NPI

Blue Iris Assisted Living, Inc

  • Assisted Living Facility
  • Prescott, AZ
National Provider Identifier
1912833815
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLUE IRIS ASSISTED LIVING, INC
Practice address
7105 N Williamson Valley Rd
Prescott, AZ 86305-8996
Phone
(928) 778-0002
Fax
(928) 778-7485
NPI assigned
Jun 19, 2026
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Mrs. Catherine Excell, MANAGER
Title
Owner/Manager
Phone
(928) 273-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7105 N Williamson Valley Rd
Prescott, AZ 86305-8996

Mailing address

7105 N Williamson Valley Rd
Prescott, AZ 86305-8996
Phone (928) 778-0002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1912833815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 N WILLIAMSON VALLEY RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863058996",
            "telephone_number": "928-778-0002",
            "fax_number": "928-778-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 N WILLIAMSON VALLEY RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863058996",
            "telephone_number": "928-778-0002",
            "fax_number": "928-778-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE IRIS ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "EXCELL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "928-273-2262",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.