Active NPIOrganization

3RD And Indian School Assisted Living Facility, LLC

Assisted Living Facility in Phoenix, Arizona

NPI Number1912716705
Practice location
4000 N 3RD Ave, Phoenix, AZ 85013-1285
Fax
—
Last updated
January 6, 2025

3RD And Indian School Assisted Living Facility, LLC is a healthcare organization based in Phoenix, AZ. The NPI number for 3RD And Indian School Assisted Living Facility, LLC is 1912716705. The current practice location address is 4000 N 3RD Ave, Phoenix, AZ 85013-1285 and the office can be reached by phone at 217-620-9874. The NPI was assigned on January 6, 2025 and the record was last updated in NPPES on January 6, 2025.

●Provider Profile Details

NPI Number
1912716705
Provider Name
3RD And Indian School Assisted Living Facility, LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Jo Ellen Bleavins · President And Ceo · 217-620-9874
Enumeration Date
January 6, 2025
Last Update Date
January 6, 2025
Certification Date
January 6, 2025
NPI Status
Active

◉Business Practice Location Address

Address
4000 N 3RD Ave
Phoenix, AZ 85013-1285
State
Arizona
ZIP
85013-1285
Country
US
Phone Number
217-620-9874

Get directions →

✉Business Mailing Address

Address
121 W Wacker Dr Ste 400
Chicago, IL 60601-1781
City
Chicago
State
IL
ZIP
60601-1781
Phone Number
217-620-9874

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Assisted Living Facility310400000XYes——

#Other Provider Identifiers

No legacy or other 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 at npiregistry.cms.hhs.gov.

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