PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME (NPI# 1225052814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225052814 |
| Entity Type | Organization |
| Organization Name | PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME |
| Other Organization Name | PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME |
| Practice Address |
3040 N 36th St Kivel Manor Assisted Living Phoenix AZ 85018 |
| Practice Telephone | 6024438020 |
| Practice Fax Number | 6029579493 |
| Mailing Telephone | 6024438020 |
| Mailing Fax Number | 6029579493 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | MR. IRA SHULMAN (CEO) |
| Authorized Official Telephone | 6024438020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALC-5831 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 121592 | 05 |
| Other Name | Type Code |
|---|---|
| Kivel Campus of Care | Doing Business As Name - Organization |
| Kivel Manor Assisted Living Center | Doing Business As Name - Organization |
| Phoenix Jewish Community Kivel Nursing Home | Former Legal Business Name - Organization |
| Street Address |
3040 N 36TH ST KIVEL MANOR ASSISTED LIVING |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800966 | Yibu Liu | Assisted Living Facility | 3569 E Utopia Rd, Phoenix, AZ 85050-3967 | 2020-10-28 |
| 1609474030 | Fisher Family Home LLC | Assisted Living Facility | 2927 W Redfield Rd, Phoenix, AZ 85053-7712 | 2020-10-16 |
| 1235736687 | Ana's Assisted Living Home, LLC | Assisted Living Facility | 13238 N 35th St, Phoenix, AZ 85032-6110 | 2020-10-07 |
| 1881201598 | Latins Home LLC | Assisted Living Facility | 10601 S 42nd St, Phoenix, AZ 85044-1301 | 2020-09-26 |
| 1659987998 | Mehry Lyn Moses | Assisted Living Facility | 1816 E Whitton Ave, Phoenix, AZ 85016-6416 | 2020-09-22 |
| 1417562406 | Briceida Rocha | Assisted Living Facility | 1345 W Atlanta Ave, Phoenix, AZ 85041-3929 | 2020-09-15 |
| 1073127213 | Marlyn Ll Joaquin | Assisted Living Facility | 1349 W Rosemonte Dr, Phoenix, AZ 85027-5444 | 2020-09-04 |
| 1720602832 | Casa De Vida Living LLC | Assisted Living Facility | 7036 W Parkway Dr, Phoenix, AZ 85043-6921 | 2020-06-04 |
| 1689295297 | Raj International LLC | Assisted Living Facility | 4312 E Redwood Ln, Phoenix, AZ 85048-7028 | 2020-05-05 |
| 1285261891 | Sterling Residences, LLC | Assisted Living Facility | 2301 E Lone Cactus Dr, Phoenix, AZ 85024-5507 | 2020-03-24 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.