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AMETHYST GARDENS ASSISTED LIVING
NPI 1295057339
Assisted Living Facility in Peoria, AZ

Active since February 16, 2010
18170 N 91ST AVE, PEORIA, AZ 85382(623) 974-5848 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amethyst Gardens Assisted Living NPPES

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

AMETHYST GARDENS ASSISTED LIVING (NPI 1295057339) is a healthcare organization registered as an assisted living facility in Peoria, Arizona and active in the NPI registry since February 2010. The organization lists Wick Peterson, Vp, as its authorized official.

NPPES Registry Identity

NPI1295057339
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLSREF GOLDEN OPS UE (AZ), LLC
Location Address18170 N 91ST AVEPeoria, AZ 85382-0866
Mailing Address500 Stevens AveSolana Beach, CA 92075-2055
Phone(623) 974-5848
Organization SubpartNo
Authorized OfficialWick PetersonVp · (858) 436-7662
Enumeration DateFebruary 16, 2010
✔ NPI 1295057339 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.
18170 N 91ST AVE, Peoria, AZ 85382
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Other Names 1

Doing Business AsAmethyst Gardens Assisted Living

Other Identifiers 1

Medicaid418044AZ

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAKEELA KIMBLE OTR/L
Occupational Therapist
18170 N 91ST AVE
PEORIA, AZ 85382
Maricopa County (623) 974-5848
JACQUELINE M JARABEK M.P.T
Physical Therapist
18170 N 91ST AVE
PEORIA, AZ 85382
Maricopa County (623) 374-6660
PREMERE REHAB LLC
Physical Therapist
18170 N 91ST AVE
PEORIA, AZ 85382
Maricopa County (623) 974-5848
MRS. JENNIFER MARY GOLINSKI O.T.
Occupational Therapist
18170 N 91ST AVE
PEORIA, AZ 85382
Maricopa County (623) 374-6660
RIDGES AT PEORIA, LLC
Assisted Living Facility
18170 N 91ST AVE
PEORIA, AZ 85382
Maricopa County (623) 974-5848

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 Lsref Golden Ops Ue (az), LLC's NPI number?

The NPI number for Lsref Golden Ops Ue (az), LLC is 1295057339. It was assigned to this organization in the NPPES registry on February 16, 2010. The provider is doing business as Amethyst Gardens Assisted Living.

Where is Lsref Golden Ops Ue (az), LLC located?

Lsref Golden Ops Ue (az), LLC is located at 18170 N 91st Ave, Peoria, AZ 85382. The listed phone number is (623) 974-5848.

What is Lsref Golden Ops Ue (az), 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 Lsref Golden Ops Ue (az), LLC was last updated on February 16, 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.