PINETOP SENIOR LIVING LLC
NPI 1215812102
Assisted Living Facility in Lakeside, AZ

Q: What is Pinetop Senior Living LLC's NPI number?

The NPI number for Pinetop Senior Living LLC is 1215812102. It was assigned to this organization in the NPPES registry on August 8, 2025.

Q: What is Pinetop Senior Living LLC's specialty?

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

Active since August 08, 2025

5408 HIGHWAY 260 BLDG 15408, LAKESIDE, AZ 85929(928) 532-4600 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pinetop Senior Living Llc NPPES

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

PINETOP SENIOR LIVING LLC (NPI 1215812102) is a healthcare organization registered as an assisted living facility in Lakeside, Arizona and active in the NPI registry since August 2025. The organization lists Michael Kennedy, Manager, as its authorized official.

NPPES Registry Identity

NPI1215812102

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePINETOP SENIOR LIVING LLC

Location Address5408 HIGHWAY 260 BLDG 15408Lakeside, AZ 85929-5791

Mailing Address5408 Highway 260 Bldg 15408Lakeside, AZ 85929-5791 · (928) 532-4600

Phone(928) 532-4600

Organization SubpartNo

Authorized OfficialMichael KennedyManager · (928) 532-4600

Enumeration DateAugust 8, 2025

NPPES CertifiedAugust 8, 2025

✔ NPI 1215812102 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.

5408 HIGHWAY 260 BLDG 15408, Lakeside, AZ 85929

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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 Pinetop Senior Living LLC's NPI number?

The NPI number for Pinetop Senior Living LLC is 1215812102. It was assigned to this organization in the NPPES registry on August 8, 2025.

Where is Pinetop Senior Living LLC located?

Pinetop Senior Living LLC is located at 5408 Highway 260 Bldg 15408, Lakeside, AZ 85929. The listed phone number is (928) 532-4600.

What is Pinetop 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 Pinetop Senior Living LLC was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.