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SUPERSTITION MANOR ASSISTED LIVING LLC
NPI 1114172053
Assisted Living Facility in Apache Junction, AZ

Active since November 19, 2008
201 W 20TH AVE, APACHE JUNCTION, AZ 85220(480) 288-9711(480) 228-8869 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Superstition Manor Assisted Living Llc NPPES

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

SUPERSTITION MANOR ASSISTED LIVING LLC (NPI 1114172053) is a healthcare organization registered as an assisted living facility in Apache Junction, Arizona and active in the NPI registry since November 2008. The organization lists Bruce Bogucki, Owner Manager, as its authorized official.

NPPES Registry Identity

NPI1114172053
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUPERSTITION MANOR ASSISTED LIVING LLC
Location Address201 W 20TH AVEApache Junction, AZ 85220-7532
Mailing Address201 W 20th AveApache Junction, AZ 85120-7532 · (480) 288-9711 · Fax (480) 288-8869
Phone(480) 288-9711
Fax(480) 228-8869
Organization SubpartNo
Authorized OfficialBruce BoguckiOwner Manager · (480) 227-3458
Enumeration DateNovember 19, 2008
Last NPPES UpdateOctober 10, 2013
✔ NPI 1114172053 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.
201 W 20TH AVE, Apache Junction, AZ 85220
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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 Superstition Manor Assisted Living LLC's NPI number?

The NPI number for Superstition Manor Assisted Living LLC is 1114172053. It was assigned to this organization in the NPPES registry on November 19, 2008.

Where is Superstition Manor Assisted Living LLC located?

Superstition Manor Assisted Living LLC is located at 201 W 20th Ave, Apache Junction, AZ 85220. The listed phone number is (480) 288-9711.

What is Superstition Manor 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 Superstition Manor Assisted Living LLC was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.