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WEST LANE HOME
NPI 1447645833
Custodial Care Facility - Adult Care Home in Phoenix, AZ

Active since April 02, 2015
3137 W LANE AVE, PHOENIX, AZ 85051(602) 332-0780(877) 517-2224 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Lane Home NPPES

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

WEST LANE HOME (NPI 1447645833) is a healthcare organization registered as an adult care home in Phoenix, Arizona and active in the NPI registry since April 2015. The organization lists Rebecca T. Siddiqui, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447645833
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameAZ ADVANCED CARE LLC
Location Address3137 W LANE AVEPhoenix, AZ 85051-6522
Mailing Address3137 W Lane AvePhoenix, AZ 85051-6522 · (602) 332-0780 · Fax (877) 517-2224
Phone(602) 332-0780
Fax(877) 517-2224
Organization SubpartNo
Authorized OfficialRebecca T. SiddiquiAdministrator · (602) 332-0780
Enumeration DateApril 2, 2015
✔ NPI 1447645833 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 · AL9510H
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.
3137 W LANE AVE, Phoenix, AZ 85051
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Other Names 1

Doing Business AsWest Lane Home

Other Identifiers 1

Medicaid963085AZ

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 Az Advanced Care LLC's NPI number?

The NPI number for Az Advanced Care LLC is 1447645833. It was assigned to this organization in the NPPES registry on April 2, 2015. The provider is doing business as West Lane Home.

Where is Az Advanced Care LLC located?

Az Advanced Care LLC is located at 3137 W Lane Ave, Phoenix, AZ 85051. The listed phone number is (602) 332-0780.

What is Az Advanced Care LLC'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 Az Advanced Care LLC was last updated on April 2, 2015. 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.