Jubilee in the Desert, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JUBILEE IN THE DESERT, LLC

Practice address

4321 W Cholla St
Glendale, AZ 85304-3531

Phone

(480) 878-2273

Fax

(480) 685-9939

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Erica Jordan Scardefield

Title

Facility Manager/Owner

Phone

(480) 878-2273

Specialties & licenses 1

Addresses

Other names 1

• Jubilee in the Desert Assisted Living Doing business as

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1952954489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13409 N 31ST PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326026",
            "telephone_number": "480-878-2273",
            "fax_number": "480-685-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 W CHOLLA ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043531",
            "telephone_number": "480-878-2273",
            "fax_number": "480-685-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE IN THE DESERT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "SCARDEFIELD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "FACILITY MANAGER/OWNER",
        "authorized_official_telephone_number": "480-878-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jubilee in the Desert Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jul 23, 2019; 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.