ARIZONA DESERT FALLS
NPI 1174844773
Assisted Living Facility in Phoenix, AZ

Active since June 17, 2010CLIA 03D2000333 · Waiver
2802 E JUNIPER AVE, PHOENIX, AZ 85032(480) 307-6161 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Arizona Desert Falls NPPES

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

ARIZONA DESERT FALLS (NPI 1174844773) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Mark C Mckirahan, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1174844773
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAC BUSINESS MANAGEMENT, INC.
Location Address2802 E JUNIPER AVEPhoenix, AZ 85032-2611
Mailing Address2802 E Juniper AvePhoenix, AZ 85032-2611 · (480) 307-6161
Organization SubpartNo
Authorized OfficialMark C MckirahanSecretary/treasurer · (480) 307-6161
Enumeration DateJune 17, 2010
NPI 1174844773 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-7191
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.

2802 E JUNIPER AVE, Phoenix, AZ 85032

Other Names 1

Doing Business AsArizona Desert Falls

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 03D2000333

Arizona Desert Falls · Phoenix, AZ
Active · expires Nov 24, 2027
CLIA Number03D2000333
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorPaul W. Mckirahan
Laboratory Phone(480) 307-6161
Laboratory LocationArizona Desert Falls2802 E Juniper Ave, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174844773, enumerated as an "organization" on June 17, 2010.

The provider is located at 2802 E JUNIPER AVE PHOENIX, AZ 85032 and the phone number is (480) 307-6161.

Assisted Living Facility with taxonomy code 310400000X.