JUBILEE IN THE DESERT, LLC


Address: 4321 W Cholla St, Glendale, AZ 85304-3531
Phone: 4808782273

JUBILEE IN THE DESERT, LLC (NPI# 1952954489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952954489
Entity Type Organization
Organization Name JUBILEE IN THE DESERT, LLC
Practice Address 4321 W Cholla St
Glendale
AZ 85304-3531
Mailing Address 13409 N 31st Pl
Phoenix
AZ 85032-6026
Practice Telephone 4808782273
Practice Fax Number 4806859939
Mailing Telephone 4808782273
Mailing Fax Number 4806859939
Enumeration Date 2019-07-23
Last Update Date 2019-07-23
Authorized Official Name MS. ERICA JORDAN SCARDEFIELD (FACILITY MANAGER/OWNER)
Authorized Official Telephone 4808782273
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Jubilee in the Desert Assisted Living Doing Business As Name - Organization

Office Location

Street Address 4321 W CHOLLA ST
City GLENDALE
State AZ
Zip Code 85304-3531

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386254027 J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II Substance Abuse Rehabilitation Facility 6613 W. Pershing Avenue, Glendale, AZ 85304 2020-08-07
1194214015 Vema Corporation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4309 W Corrine Dr, Glendale, AZ 85304 2018-05-07
1962929224 Glendale Surgery Center Clinic/Center 11851 North 51st Ave, Suite G, Glendale, AZ 85304 2017-08-28
1073941092 Megan Lorenzen Occupational Therapist 5834 W. Bloomfield Rd., Glendale, AZ 85304 2013-10-30
1396178380 Danielle Marie Wiles Registered Nurse 12901 W. 63rd Avenue, Glendale, AZ 85304 2013-08-14
1780017848 Pedram Nazari Pharmacist 4811 North 83rd Avenue, Glendale, AZ 85304 2013-08-13
1740558022 Krunal Patel Obstetrics & Gynecology 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 2011-12-01
1730499609 Laura A Truax Physician Assistant 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 2010-10-13
1760698419 Suhir Bitar Pediatrics 13625 N 59th Ave, Glendale, AZ 85304 2007-05-16
1497967293 Pam Rubbone Psychologist 4650 West Sweetwater Ave., Glendale, AZ 85304 2007-05-04
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083228316 Unique Family To Family Adult Care Home, LLC Assisted Living Facility 6981 W Villa Hermosa, Glendale, AZ 85310-5855 2020-09-03
1225673759 Trinity Assisted Living Assisted Living Facility 4541 W Paradise Ln, Glendale, AZ 85306-2729 2019-11-07
1962054536 Vema Corporation Assisted Living Facility 4802 W Gelding Dr, Glendale, AZ 85306-4438 2019-07-12
1013487180 Ludovica Rodica Malutan Assisted Living Facility 5019 W Paradise Ln, Glendale, AZ 85306-2655 2018-11-30
1144790601 Terra Pointe Care, LLC Assisted Living Facility 5330 W Union Hills Dr, Glendale, AZ 85308-1311 2018-11-27
1316433493 Andrei Martin Assisted Living Facility 6338 W Port Royale Ln, Glendale, AZ 85306-3260 2018-07-02
1841782638 Goldwater Legacy Assisted Living LLC Assisted Living Facility 6640 W Pinnacle Peak Rd, Glendale, AZ 85310-3409 2018-06-06
1932627494 Dennis J Tan Assisted Living Facility 6979 W Cactus Wren Dr, Glendale, AZ 85303-2684 2017-09-05
1568984037 Angels Paradise Care Home 2, LLC Assisted Living Facility 5582 W Becker Ln, Glendale, AZ 85304-3866 2017-07-17
1093254435 Los Feliz Residential Care Center Inc. Assisted Living Facility 205 E Los Feliz Rd, Glendale, CA 91205-3118 2017-02-17
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Competitor

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City GLENDALE
Zip Code 85304

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Dataset Information

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.

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