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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLENDALE GROVE SENIOR LIVING, LLC
NPI 1205778172
Assisted Living Facility in Glendale, AZ

Active since April 08, 2026
5125 N 58TH AVE, GLENDALE, AZ 85301(208) 401-1400 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Apr 8, 2026 (2 updates tracked since 2026).

About Glendale Grove Senior Living, Llc NPPES

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

GLENDALE GROVE SENIOR LIVING, LLC (NPI 1205778172) is a healthcare organization registered as an assisted living facility in Glendale, Arizona and active in the NPI registry since April 2026. The organization lists Amber Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1205778172
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGLENDALE GROVE SENIOR LIVING, LLC
Location Address5125 N 58TH AVEGlendale, AZ 85301-7453
Mailing Address5125 N 58th AveGlendale, AZ 85301-7453
Phone(208) 401-1400
Organization SubpartNo
Authorized OfficialAmber TuellerSecretary · (208) 207-2726
Enumeration DateApril 8, 2026
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1205778172 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.
5125 N 58TH AVE, Glendale, AZ 85301
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Other Providers at the Same Location NPPES 13

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

GLENDALE HEALTHCARE ASSOC., LLC
Skilled Nursing Facility
5125 N 58TH AVE
GLENDALE, AZ 85301
Maricopa County (623) 931-5800
GLENDALE HEALTHCARE ASSOCIATES LLC
Skilled Nursing Facility
5125 N 58TH AVE
GLENDALE, AZ 85301
Maricopa County (623) 931-5800
ALEXIS COSSYLEON DPT
Physical Therapist
5125 N 58TH AVE
GLENDALE, AZ 85301
Maricopa County (623) 931-5800
GREEN HERON SENIOR LIVING, INC.
Assisted Living Facility
5125 N 58TH AVE
GLENDALE, AZ 85301
Maricopa County (623) 915-5720
JASMINE STEVENSON
Speech-Language Pathologist
5125 N 58TH AVE
GLENDALE, AZ 85301
Maricopa County (623) 931-5800
MRS. HELENE RENE' HANSON COTA/L
Occupational Therapy Assistant
5125 N 58TH AVE
GLENDALE, AZ 85301
Maricopa County (623) 931-5800
ROSEANNE FLORENTO TEH P.T.
Physical Therapist
5125 N 58TH AVE
GLENDALE, AZ 85301
Maricopa County (623) 931-5800
KELLI HELLWIG
Physical Therapist
5125 N 58TH AVE
GLENDALE, AZ 85301
Maricopa County (623) 931-5800

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 Glendale Grove Senior Living, LLC's NPI number?

The NPI number for Glendale Grove Senior Living, LLC is 1205778172. It was assigned to this organization in the NPPES registry on April 8, 2026.

Where is Glendale Grove Senior Living, LLC located?

Glendale Grove Senior Living, LLC is located at 5125 N 58th Ave, Glendale, AZ 85301. The listed phone number is (208) 401-1400.

What is Glendale Grove Senior 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 Glendale Grove Senior Living, LLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.