APOLLO RESIDENTIAL ASSISTED LIVING, LLC (NPI# 1962874354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962874354 |
| Entity Type | Organization |
| Organization Name | APOLLO RESIDENTIAL ASSISTED LIVING, LLC |
| Practice Address |
4719 W Harmont Dr Glendale AZ 85302-6416 |
| Mailing Address |
14202 W Mauna Loa Ln Surprise AZ 85379-8669 |
| Practice Telephone | 6232382285 |
| Mailing Telephone | 6232382285 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | STEPHANIE JENKINS (OWNER/MEMBER) |
| Authorized Official Telephone | 6232382285 |
| Authorized Official Credential | RN |
| 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 |
4719 W HARMONT DR |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730691635 | Apollo Ral LLC | Assisted Living Facility | 4719 W Harmont Dr, Glendale, AZ 85302-6416 | 2017-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1952954489 | Jubilee In The Desert, LLC | Assisted Living Facility | 4321 W Cholla St, Glendale, AZ 85304-3531 | 2019-07-23 |
| 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 |
| Find all providers in GLENDALE | ||||
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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.