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JOLLEY FAMILY ASSISTED LIVING HOME
NPI 1215096516
Assisted Living Facility in Buckeye, AZ

Active since December 06, 2006CLIA 03D1060099 · Waiver
20106 W BROADWAY RD, BUCKEYE, AZ 85326(623) 327-0995(623) 327-0996 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jolley Family Assisted Living Home NPPES

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

JOLLEY FAMILY ASSISTED LIVING HOME (NPI 1215096516) is a healthcare organization registered as an assisted living facility in Buckeye, Arizona and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Fay Ester Jolley-webster, Manager, as its authorized official.

NPPES Registry Identity

NPI1215096516
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJOLLEY FAMILY ASSISTED LIVING HOME
Location Address20106 W BROADWAY RDBuckeye, AZ 85326-5753
Mailing Address20110 W Broadway RdBuckeye, AZ 85326-5753 · (623) 386-2201 · Fax (623) 386-0189
Phone(623) 327-0995
Fax(623) 327-0996
Organization SubpartNo
Authorized OfficialFay Ester Jolley-websterManager · (623) 327-0995
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215096516 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 · ALH 2643
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.
20106 W BROADWAY RD, Buckeye, AZ 85326
Open in Google Maps ↗

Other Identifiers 1

Medicaid529951AZ

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 03D1060099

Jolley Family Assisted Living Home · Buckeye, AZ
Active · expires Oct 15, 2026
CLIA Number03D1060099
Laboratory TypeOther
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorFay E. Jolley-Webster
Laboratory Phone(623) 327-0995
Laboratory LocationJolley Family Assisted Living Home20106 W Broadway Road, Buckeye, AZ 85326
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jolley Family Assisted Living Home's NPI number?

The NPI number for Jolley Family Assisted Living Home is 1215096516. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Jolley Family Assisted Living Home located?

Jolley Family Assisted Living Home is located at 20106 W Broadway Rd, Buckeye, AZ 85326. The listed phone number is (623) 327-0995.

What is Jolley Family Assisted Living Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Jolley Family Assisted Living Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1060099) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jolley Family Assisted Living Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.