PENNINGTON GARDENS SL, LLC
NPI 1073262333
Assisted Living Facility in Chandler, AZ

Active since March 22, 2022CLIA 03D2196710 · Waiver
977 S PENNINGTON DR, CHANDLER, AZ 85224(480) 814-9046(480) 814-9058 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pennington Gardens Sl, Llc NPPES

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

PENNINGTON GARDENS SL, LLC (NPI 1073262333), doing business as Pennington Gardens, is a healthcare organization registered as an assisted living facility in Chandler, Arizona and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Steven Bae, Vp Of Org Development, as its authorized official.

NPPES Registry Identity

NPI1073262333
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePENNINGTON GARDENS SL, LLC
Location Address977 S PENNINGTON DRChandler, AZ 85224-5658
Mailing Address560 1st St Ste 104Lake Oswego, OR 97034-3273 · (503) 675-3925
Fax(480) 814-9058
Organization SubpartNo
Authorized OfficialSteven BaeVp Of Org Development · (503) 675-3925
Enumeration DateMarch 22, 2022
Last NPPES UpdateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
NPI 1073262333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

977 S PENNINGTON DR, Chandler, AZ 85224

Other Names 1

Doing Business AsPennington Gardens

Other Identifiers 1

Medicaid295255AZ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2196710

Pennington Gardens · Chandler, AZ
Active · expires Oct 18, 2026
CLIA Number03D2196710
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorNancy Njoroge
Laboratory Phone(480) 814-9046
Laboratory LocationPennington Gardens977 S Pennington Dr, Chandler, AZ 85224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Assisted Living Facility
977 S PENNINGTON DR
CHANDLER, AZ 85224
Assisted Living Facility
977 S PENNINGTON DR
CHANDLER, AZ 85224
Assisted Living Facility
977 S PENNINGTON DR
CHANDLER, AZ 85224

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 Pennington Gardens Sl, LLC's NPI number?

The NPI number for Pennington Gardens Sl, LLC is 1073262333. It was assigned to this organization in the NPPES registry on March 22, 2022. The provider is doing business as Pennington Gardens.

Where is Pennington Gardens Sl, LLC located?

Pennington Gardens Sl, LLC is located at 977 S Pennington Dr, Chandler, AZ 85224. The listed phone number is (480) 814-9046.

What is Pennington Gardens Sl, LLC's specialty?

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

Does Pennington Gardens Sl, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2196710) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pennington Gardens Sl, LLC was last updated on August 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.