THE HARBOR LIGHHOUSE II
NPI 1336477520
Custodial Care Facility - Adult Care Home in Glendale, AZ

Active since November 26, 2009
4142 W GROVERS AVE, GLENDALE, AZ 85308(602) 358-8604(602) 606-2356 Get Directions Write a Review

NPPES record last updated: November 26, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Harbor Lighhouse Ii NPPES

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

THE HARBOR LIGHHOUSE II (NPI 1336477520) is a healthcare organization registered as an adult care home in Glendale, Arizona and active in the NPI registry since November 2009. The organization lists Costel Tirdea, Owner, as its authorized official.

NPPES Registry Identity

NPI1336477520
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameTHE HARBOR LIGHHOUSE II
Location Address4142 W GROVERS AVEGlendale, AZ 85308-2926
Mailing Address4142 W Grovers AveGlendale, AZ 85308-2926 · (602) 358-8604 · Fax (602) 606-2356
Fax(602) 606-2356
Organization SubpartNo
Authorized OfficialCostel TirdeaOwner · (602) 358-8604
Enumeration DateNovember 26, 2009
NPI 1336477520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in AZ · ALH-6343
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

4142 W GROVERS AVE, Glendale, AZ 85308

Other Identifiers 1

OtherAHL-6343AZ · Assisted Living Home License

Other Providers at the Same Location NPPES

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

Custodial Care Facility (Adult Care Home)
4142 W GROVERS AVE
GLENDALE, AZ 85308

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 The Harbor Lighhouse II's NPI number?

The NPI number for The Harbor Lighhouse II is 1336477520. It was assigned to this organization in the NPPES registry on November 26, 2009.

Where is The Harbor Lighhouse II located?

The Harbor Lighhouse II is located at 4142 W Grovers Ave, Glendale, AZ 85308. The listed phone number is (602) 358-8604.

What is The Harbor Lighhouse II's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for The Harbor Lighhouse II was last updated on November 26, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.