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PRIMAVERA ASSISTED LIVING LLC
NPI 1104696897
Assisted Living Facility in Phoenix, AZ

Active since January 04, 2024
13644 N 33RD AVE, PHOENIX, AZ 85029(951) 907-2289 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primavera Assisted Living Llc NPPES

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

PRIMAVERA ASSISTED LIVING LLC (NPI 1104696897) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since January 2024. The organization lists Joy Anne Marie Ibuyan Padron, Owner, as its authorized official.

NPPES Registry Identity

NPI1104696897
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRIMAVERA ASSISTED LIVING LLC
Location Address13644 N 33RD AVEPhoenix, AZ 85029-1218
Mailing Address13644 N 33rd AvePhoenix, AZ 85029-1218 · (951) 907-2289
Phone(951) 907-2289
Organization SubpartNo
Authorized OfficialJoy Anne Marie Ibuyan PadronOwner · (951) 907-2289
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1104696897 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.
13644 N 33RD AVE, Phoenix, AZ 85029
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Other Names 1

Doing Business AsPrimavera Assisted Living Llc

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 Primavera Assisted Living LLC's NPI number?

The NPI number for Primavera Assisted Living LLC is 1104696897. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Primavera Assisted Living LLC located?

Primavera Assisted Living LLC is located at 13644 N 33rd Ave, Phoenix, AZ 85029. The listed phone number is (951) 907-2289.

What is Primavera Assisted Living LLC'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 Primavera Assisted Living LLC was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.