THE LODGE AT 14TH ST.
NPI 1083698328
Assisted Living Facility in Phoenix, AZ

Q: What is The Lodge At 14th St.'s NPI number?

The NPI number for The Lodge At 14th St. is 1083698328. It was assigned to this organization in the NPPES registry on November 30, 2005. The provider was formerly known as Crystal Lodge Investors.

Q: What is The Lodge At 14th St.'s specialty?

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

Active since November 30, 2005

2941 N 14TH ST, PHOENIX, AZ 85014(602) 279-1033(602) 277-5604 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Lodge At 14th St. NPPES

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

THE LODGE AT 14TH ST. (NPI 1083698328), doing business as Crystal Lodge Investors, is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since November 2005. The organization lists John Garvey, General Partner, as its authorized official.

NPPES Registry Identity

NPI1083698328

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTHE LODGE AT 14TH ST.

Location Address2941 N 14TH STPhoenix, AZ 85014-5604

Mailing Address2941 N. 14th St.Phoenix, AZ 85014-5604 · (602) 279-1033 · Fax (602) 277-5367

Phone(602) 279-1033

Fax(602) 277-5604

Organization SubpartNo

Authorized OfficialJohn GarveyGeneral Partner · (602) 279-1033

Enumeration DateNovember 30, 2005

Last NPPES UpdateOctober 23, 2024

NPPES CertifiedOctober 23, 2024

✔ NPI 1083698328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedClinic/CenterTaxonomy 261Q00000X · License ALC 4746 (AZ)

Also ListedReligious Nonmedical Health Care InstitutionTaxonomy 282J00000X · License ALC-4746 (AZ)

2941 N 14TH ST, Phoenix, AZ 85014

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Other Names 1

Former Legal Business NameCrystal Lodge Investors

Other Identifiers 2

Medicaid629-256AZ

Medicaid629256AZ

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 The Lodge At 14th St.'s NPI number?

The NPI number for The Lodge At 14th St. is 1083698328. It was assigned to this organization in the NPPES registry on November 30, 2005. The provider was formerly known as Crystal Lodge Investors.

Where is The Lodge At 14th St. located?

The Lodge At 14th St. is located at 2941 N 14th St, Phoenix, AZ 85014. The listed phone number is (602) 279-1033.

What is The Lodge At 14th St.'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 The Lodge At 14th St. was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.