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HOLBROOK EXTENDED CARE FACILITY
NPI 1023162807
Assisted Living Facility in Holbrook, AZ

Active since January 22, 2007
216 JOY NEVIN AVE, HOLBROOK, AZ 86025(928) 524-2344(928) 524-3603 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holbrook Extended Care Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLBROOK EXTENDED CARE FACILITY (NPI 1023162807) is a healthcare organization registered as an assisted living facility in Holbrook, Arizona and active in the NPI registry since January 2007. The organization lists Mary Lisa Salazar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023162807
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOLBROOK SENIOR CITIZENS ASSOCIATION
Location Address216 JOY NEVIN AVEHolbrook, AZ 86025-2924
Mailing AddressPo Box 580Holbrook, AZ 86025-0580 · (928) 524-2344 · Fax (928) 524-3603
Phone(928) 524-2344
Fax(928) 524-3603
Organization SubpartNo
Authorized OfficialMary Lisa SalazarAdministrator · (928) 524-2344
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023162807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AZ · ALC 4486
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.
216 JOY NEVIN AVE, Holbrook, AZ 86025
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Other Names 1

Doing Business AsHolbrook Extended Care Facility

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLBROOK SENIOR CITIZENS ASSOCIATION
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
216 JOY NEVIN AVE
HOLBROOK, AZ 86025
Navajo County (928) 524-6044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holbrook Senior Citizens Association's NPI number?

The NPI number for Holbrook Senior Citizens Association is 1023162807. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as Holbrook Extended Care Facility.

Where is Holbrook Senior Citizens Association located?

Holbrook Senior Citizens Association is located at 216 Joy Nevin Ave, Holbrook, AZ 86025. The listed phone number is (928) 524-2344.

What is Holbrook Senior Citizens Association's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Holbrook Senior Citizens Association was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.