NEL'S NEST ASSISTED LIVING , LLC (NPI# 1538643242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538643242 |
| Entity Type | Organization |
| Organization Name | NEL'S NEST ASSISTED LIVING , LLC |
| Practice Address |
3655 W Dynamite Blvd Phoenix AZ 85083-0860 |
| Practice Telephone | 6028822766 |
| Practice Fax Number | 6233219960 |
| Mailing Telephone | 6028822766 |
| Mailing Fax Number | 6233219960 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | CARON WHITE (OWNER/ ADMINISTRATOR) |
| Authorized Official Telephone | 6028822766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
3655 W DYNAMITE BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85083-0860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042657 | Prestige Group Homes | Assisted Living Facility | 28001 N 31st Ave, Phoenix, AZ 85083 | 2017-09-28 |
| 1467702068 | Chirag Javia | Pharmacist | 5029 W. Buckskin Trail, Phoenix, AZ 85083 | 2012-09-12 |
| 1568944049 | Nicholas Ryan Wieferich | Pharmacist | 5450 W Happy Valley Rd, Phoenix, AZ 85083 | 2018-08-31 |
| 1992258743 | Andrew Jon Cefalo | Dentist | 25155 N 67th Ave Ste 142, Phoenix, AZ 85083 | 2016-07-28 |
| 1508211673 | Mansi Dave | Internal Medicine | 5164 W Quail Track Dr, Phoenix, AZ 85083-0863 | 2016-04-26 |
| 1043797905 | Kara A Fishgold | Nurse Practitioner | 6325 W Briles Rd, Phoenix, AZ 85083-1003 | 2018-07-24 |
| 1053455634 | Melanie O'rourke Speech Services, LLC | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2007-02-16 |
| 1538437538 | Melanie O'rourke | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2011-12-05 |
| 1508280496 | Stephen Wayne Champion | Registered Nurse | 25830 N 64th Ave, Phoenix, AZ 85083-1014 | 2014-02-12 |
| 1700189214 | Art Gene Newman | Massage Therapist | 25819 N 65th Dr, Phoenix, AZ 85083-1031 | 2010-12-06 |
| Find all providers in zip 85083 | ||||
| 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 | ||||
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| 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.