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BEVERLY ASSISTED LIVING 1
NPI 1235981416
Assisted Living Facility in Phoenix, AZ

Active since April 02, 2024
17647 N 33RD LN, PHOENIX, AZ 85053(602) 580-1512 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Beverly Assisted Living 1 NPPES

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

BEVERLY ASSISTED LIVING 1 (NPI 1235981416) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since April 2024. The organization lists Isatu Davies-anthony, Manager, as its authorized official.

NPPES Registry Identity

NPI1235981416
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBEVERLY ASSISTED LIVING 1
Location Address17647 N 33RD LNPhoenix, AZ 85053-6660
Mailing Address17647 N 33rd LnPhoenix, AZ 85053-6660 · (602) 580-1512
Phone(602) 580-1512
Organization SubpartNo
Authorized OfficialIsatu Davies-anthonyManager · (718) 594-4001
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1235981416 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.
17647 N 33RD LN, Phoenix, AZ 85053
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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 Beverly Assisted Living 1's NPI number?

The NPI number for Beverly Assisted Living 1 is 1235981416. It was assigned to this organization in the NPPES registry on April 2, 2024.

Where is Beverly Assisted Living 1 located?

Beverly Assisted Living 1 is located at 17647 N 33rd Ln, Phoenix, AZ 85053. The listed phone number is (602) 580-1512.

What is Beverly Assisted Living 1'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 Beverly Assisted Living 1 was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.