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PROVIDENCE LEGACY ASSISTED LIVING
NPI 1285946475
Assisted Living Facility in Queen Creek, AZ

Active since July 06, 2010
4812 E MEADOW MIST LN, QUEEN CREEK, AZ 85140(480) 388-1151 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Legacy Assisted Living NPPES

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

PROVIDENCE LEGACY ASSISTED LIVING (NPI 1285946475) is a healthcare organization registered as an assisted living facility in Queen Creek, Arizona and active in the NPI registry since July 2010. The organization lists Jinette Lanoix, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1285946475
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePROVIDENCE LEGACY ASSISTED LIVING
Location Address4812 E MEADOW MIST LNQueen Creek, AZ 85140-5222
Mailing Address4812 E Meadow Mist LnQueen Creek, AZ 85140-5222
Phone(480) 388-1151
Organization SubpartNo
Authorized OfficialJinette LanoixOwner/manager · (480) 388-1151
Enumeration DateJuly 6, 2010
✔ NPI 1285946475 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 · AL7937
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.
4812 E MEADOW MIST LN, Queen Creek, AZ 85140
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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 Providence Legacy Assisted Living's NPI number?

The NPI number for Providence Legacy Assisted Living is 1285946475. It was assigned to this organization in the NPPES registry on July 6, 2010.

Where is Providence Legacy Assisted Living located?

Providence Legacy Assisted Living is located at 4812 E Meadow Mist Ln, Queen Creek, AZ 85140. The listed phone number is (480) 388-1151.

What is Providence Legacy Assisted Living'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 Providence Legacy Assisted Living was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.