- Practice location
- 4000 N 3RD Ave, Phoenix, AZ 85013-1285
- Phone
- 217-620-9874
- Fax
- —
- Last updated
- January 6, 2025
3RD And Indian School Assisted Living Facility, LLC is a healthcare organization based in Phoenix, AZ. 3RD And Indian School Assisted Living Facility, LLC practices in Phoenix, AZ. The NPI Number for 3RD And Indian School Assisted Living Facility, LLC is 1912716705. The current practice location address for 3RD And Indian School Assisted Living Facility, LLC is 4000 N 3RD Ave, Phoenix, AZ 85013-1285 and can be reached out via phone at 217-620-9874.
Provider Profile Details
- NPI Number
- 1912716705
- Provider Name
- 3RD And Indian School Assisted Living Facility, LLC
- Provider Entity Type
- Organization
- Address
- 4000 N 3RD Ave, Phoenix, AZ 85013-1285
- Phone Number
- 217-620-9874
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- No
- Authorized Official
- Jo Ellen Bleavins · President And Ceo · 217-620-9874
- Provider Enumeration Date
- January 6, 2025
- Last Update Date
- January 6, 2025
- Certification Date
- January 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4000 N 3RD Ave
Phoenix, AZ 85013-1285 - City
- Phoenix
- State
- Arizona
- Zip
- 85013-1285
- Phone Number
- 217-620-9874
Provider Business Mailing Address Details
- Address
- 121 W Wacker Dr Ste 400
Chicago, IL 60601-1781 - City
- Chicago
- State
- IL
- Zip
- 60601-1781
- Phone Number
- 217-620-9874
License Information
- Taxonomy
- Assisted Living Facility · 310400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 3RD And Indian School Assisted Living Facility, LLC?
The NPI number of 3RD And Indian School Assisted Living Facility, LLC is 1912716705. It was assigned on January 6, 2025 and is currently active in the NPPES registry.
What is the specialty of 3RD And Indian School Assisted Living Facility, LLC?
3RD And Indian School Assisted Living Facility, LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X).
Where does 3RD And Indian School Assisted Living Facility, LLC practice?
The practice location is 4000 N 3RD Ave, Phoenix, AZ 85013-1285. The office can be reached at 217-620-9874 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912716705 directly on the NPPES registry website.