INN AT THE AMETHYST ASSISTED LIVING AND MEMORY CARE
NPI 1184947418
Assisted Living Facility in Peoria, AZ

Active since March 01, 2010
18172 N 91ST AVE, PEORIA, AZ 85382(623) 974-5847 Get Directions Write a Review

NPPES record last updated: March 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Inn At The Amethyst Assisted Living And Memory Care NPPES

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

INN AT THE AMETHYST ASSISTED LIVING AND MEMORY CARE (NPI 1184947418) is a healthcare organization registered as an assisted living facility in Peoria, Arizona and active in the NPI registry since March 2010. The organization lists Wick Peterson, Vp, as its authorized official.

NPPES Registry Identity

NPI1184947418
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLSREF GOLDEN OPS UE (AZ), LLC
Location Address18172 N 91ST AVEPeoria, AZ 85382-3001
Mailing Address500 Stevens AveSolana Beach, CA 92075-2055
Organization SubpartNo
Authorized OfficialWick PetersonVp · (858) 436-7662
Enumeration DateMarch 1, 2010
NPI 1184947418 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.
18172 N 91ST AVE, Peoria, AZ 85382

Other Names 1

Doing Business AsInn At The Amethyst Assisted Living And Memory Care

Other Identifiers 1

Medicaid410104AZ

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
18172 N 91ST AVE
PEORIA, AZ 85382
Assisted Living Facility
18172 N 91ST AVE
PEORIA, AZ 85382

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 Lsref Golden Ops Ue (az), LLC's NPI number?

The NPI number for Lsref Golden Ops Ue (az), LLC is 1184947418. It was assigned to this organization in the NPPES registry on March 1, 2010. The provider is doing business as Inn At The Amethyst Assisted Living And Memory Care.

Where is Lsref Golden Ops Ue (az), LLC located?

Lsref Golden Ops Ue (az), LLC is located at 18172 N 91st Ave, Peoria, AZ 85382. The listed phone number is (623) 974-5847.

What is Lsref Golden Ops Ue (az), 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 Lsref Golden Ops Ue (az), LLC was last updated on March 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.