Desert Wildflower Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DESERT WILDFLOWER ASSISTED LIVING LLC

Practice address

8207 W Nicolet Ave
Glendale, AZ 85303-1822

Phone

(623) 252-9506

NPI assigned

May 19, 2020

Last updated

May 19, 2020By 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

Kirsten Marie Winn Carr, MDNPI 1225054646

Title

Owner/Manager

Phone

(503) 740-6693

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirsten Marie Winn Carr, M.D.

  • Family Medicine Physician
  • Portland, OR
  • NPI 1225054646
  NPD Authorized official

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1932722402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 SW IDAHO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211617",
            "telephone_number": "503-740-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 W NICOLET AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853031822",
            "telephone_number": "623-252-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT WILDFLOWER ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "MARIE WINN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "503-740-6693",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Valley Wellness Medical Group, PC
• Desert Valley Wellness, PLC
• Desert West OBGYN
• Desert West Obstetrics & Gynecology LTD
• Desert West Obstetrics & Gynecology LTD
• Desert Winds Behavioral Health LLC
• Michael N Desvigne, M.D.
• Developmental Enrichment Centers
• Devereux Foster Care
• Devine Care LLC

• Assisted Living Facility in Glendale, AZ
• Providers in Glendale, 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 May 19, 2020; 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.