NPIMap

Organization Active NPI

Ac Assisted Living

Doing business as Ac Assisted Living 2

  • Assisted Living Facility
  • Globe, AZ
National Provider Identifier
1932744935
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AC ASSISTED LIVING
Doing business as
Ac Assisted Living 2
Practice address
410 W Euclid Ave
Globe, AZ 85501-2412
Phone
(480) 203-5862
NPI assigned
Nov 13, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AL11076HAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Helen DikeNPI 1013570753
Title
President
Phone
(480) 203-6862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

410 W Euclid Ave
Globe, AZ 85501-2412

Mailing address

14848 N 15TH Dr
Phoenix, AZ 85023-5181

Other identifiers 1

IdentifierTypeStateIssuer
AL11268HMedicaidAZ

Other names 1

  • AC ASSISTED LIVING 2 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL helenn754@gmail.com AC Assisted Living

National Provider Directory

National Provider Directory
Tax ID family
Ac Assisted Living 5 LLC6 organizations share this tax ID, including this one
Part of
Ac Assisted Living 5 LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1932744935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14848 N 15TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850235181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W EUCLID AVE",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012412",
            "telephone_number": "480-203-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AL11076H",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "DIKE",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-203-6862"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL11268H",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "helenn754@gmail.com",
            "affiliation": "Y",
            "affiliationName": "AC Assisted Living",
            "address_1": "410 W Euclid Ave",
            "city": "Globe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "855012412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AC ASSISTED LIVING 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Globe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.