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REBECCA SIDDIQUI
NPI 1346645702
Custodial Care Facility - Adult Care Home in Phoenix, AZ

Active since October 28, 2014
4113 W HAYWARD AVE, PHOENIX, AZ 85051(623) 336-7568(623) 399-8915 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Siddiqui NPPES

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

REBECCA SIDDIQUI (NPI 1346645702) is an individual adult care home provider in Phoenix, Arizona, licensed in Arizona (AL8880H) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1346645702
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameREBECCA SIDDIQUI
Location Address4113 W HAYWARD AVEPhoenix, AZ 85051-5751
Mailing Address7212 W Mcrae WayGlendale, AZ 85308-5837 · (602) 332-0780 · Fax (623) 399-8915
Phone(623) 336-7568
Fax(623) 399-8915
Sole ProprietorYes
Enumeration DateOctober 28, 2014
✔ NPI 1346645702 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 · AL8880H
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.
4113 W HAYWARD AVE, Phoenix, AZ 85051
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Other Identifiers 1

Medicaid926240AZ

Other Providers at the Same Location NPPES 3

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

GOLDEN LIFE ASSISTED LIVING HOME-1
Custodial Care Facility (Adult Care Home)
4113 W HAYWARD AVE
PHOENIX, AZ 85051
Maricopa County (602) 332-0780
TANG ASSISTED LIVING LLC
Assisted Living Facility
4113 W HAYWARD AVE
PHOENIX, AZ 85051
Maricopa County (480) 240-0278
FAMILY FIRST ASSISTED LIVING DBA GOLDEN LIFE
Assisted Living Facility
4113 W HAYWARD AVE
PHOENIX, AZ 85051
Maricopa County (602) 999-7576

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 Rebecca Siddiqui's NPI number?

The NPI number for Rebecca Siddiqui is 1346645702. It was assigned to this individual provider in the NPPES registry on October 28, 2014.

Where is Rebecca Siddiqui located?

Rebecca Siddiqui practices at 4113 W Hayward Ave, Phoenix, AZ 85051. The listed phone number is (623) 336-7568.

What is Rebecca Siddiqui'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 Rebecca Siddiqui was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.