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IVY LANE ASSISTED LIVING,LLC
NPI 1376059550
Assisted Living Facility in Surprise, AZ

Active since December 24, 2017
18379 W IVY LN, SURPRISE, AZ 85388(623) 544-2805(623) 399-6561 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 12, 2025, Dec 24, 2017 (2 updates tracked since 2017).

About Ivy Lane Assisted Living,llc NPPES

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

IVY LANE ASSISTED LIVING,LLC (NPI 1376059550) is a healthcare organization registered as an assisted living facility in Surprise, Arizona and active in the NPI registry since December 2017. The organization lists Denisa Kaporalis, Manager, as its authorized official.

NPPES Registry Identity

NPI1376059550
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameIVY LANE ASSISTED LIVING,LLC
Location Address18379 W IVY LNSurprise, AZ 85388-2367
Mailing Address18379 W Ivy LnSurprise, AZ 85388-2367 · (623) 544-2805 · Fax (623) 399-6561
Phone(623) 544-2805
Fax(623) 399-6561
Organization SubpartNo
Authorized OfficialDenisa KaporalisManager · (602) 339-3617
Enumeration DateDecember 24, 2017
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1376059550 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.
18379 W IVY LN, Surprise, AZ 85388
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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 Ivy Lane Assisted Living,llc's NPI number?

The NPI number for Ivy Lane Assisted Living,llc is 1376059550. It was assigned to this organization in the NPPES registry on December 24, 2017.

Where is Ivy Lane Assisted Living,llc located?

Ivy Lane Assisted Living,llc is located at 18379 W Ivy Ln, Surprise, AZ 85388. The listed phone number is (623) 544-2805.

What is Ivy Lane Assisted Living,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 Ivy Lane Assisted Living,llc was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.