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PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME
NPI 1225052814
Assisted Living Facility in Phoenix, AZ

Active since July 27, 2006CLIA 03D2186587 · Waiver
3040 N 36TH ST, KIVEL MANOR ASSISTED LIVING, PHOENIX, AZ 85018(602) 443-8020(602) 957-9493 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2021, Jun 10, 2020, Aug 16, 2019 (3 updates tracked since 2019).

About Phoenix Jewish Community Kivel Nursing Home NPPES

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

PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME (NPI 1225052814) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Ira Shulman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225052814
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePHOENIX JEWISH COMMUNITY KIVEL NURSING HOME
Location Address3040 N 36TH ST, KIVEL MANOR ASSISTED LIVINGPhoenix, AZ 85018
Mailing Address3040 N 36th St, Kivel Manor Assisted LivingPhoenix, AZ 85018 · (602) 443-8020 · Fax (602) 957-9493
Phone(602) 443-8020
Fax(602) 957-9493
Organization SubpartNo
Authorized OfficialIra ShulmanCeo · (602) 443-8020
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 29, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1225052814 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-5831
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.
3040 N 36TH ST, Phoenix, AZ 85018
Open in Google Maps ↗

Other Names 2

Former Legal Business NamePhoenix Jewish Community Kivel Nursing Home
Doing Business AsKivel Manor Assisted Living Center

Other Identifiers 1

Medicaid121592AZ

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 03D2186587

Phoenix Jewish Community Kivel Nursing Home · Phoenix, AZ
Active · expires Jun 17, 2028
CLIA Number03D2186587
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorLaura Lelakowski
Laboratory Phone(602) 443-8020
Laboratory LocationPhoenix Jewish Community Kivel Nursing Home3040 N 36th Street, Phoenix, AZ 85018
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 Phoenix Jewish Community Kivel Nursing Home's NPI number?

The NPI number for Phoenix Jewish Community Kivel Nursing Home is 1225052814. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Kivel Manor Assisted Living Center.

Where is Phoenix Jewish Community Kivel Nursing Home located?

Phoenix Jewish Community Kivel Nursing Home is located at 3040 N 36th St Kivel Manor Assisted Living, Phoenix, AZ 85018. The listed phone number is (602) 443-8020.

What is Phoenix Jewish Community Kivel Nursing Home's specialty?

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

Does Phoenix Jewish Community Kivel Nursing Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2186587) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix Jewish Community Kivel Nursing Home was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.