DEREK J BORTIS
NPI 1457010019
Assisted Living Facility in Phoenix, AZ

Q: What is Derek Bortis's NPI number?

The NPI number for Derek Bortis is 1457010019. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Q: What is Derek Bortis's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Bortis was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 10, 2021

2405 W FLORENTINE RD, PHOENIX, AZ 85086(480) 826-5087 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Derek J Bortis NPPES

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

DEREK J BORTIS (NPI 1457010019) is an individual assisted living facility provider in Phoenix, Arizona and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1457010019

Entity TypeIndividualMale

Primary Taxonomy310400000X

Provider Legal NameDEREK J BORTIS

Location Address2405 W FLORENTINE RDPhoenix, AZ 85086-6602

Mailing Address26204 N Fernbush DrPhoenix, AZ 85083-1625 · (480) 826-5087

Phone(480) 826-5087

Sole ProprietorYes

Enumeration DateDecember 10, 2021

NPPES CertifiedDecember 10, 2021

✔ NPI 1457010019 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.

2405 W FLORENTINE RD, Phoenix, AZ 85086

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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 Derek Bortis's NPI number?

The NPI number for Derek Bortis is 1457010019. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Derek Bortis located?

Derek Bortis practices at 2405 W Florentine Rd, Phoenix, AZ 85086. The listed phone number is (480) 826-5087.

What is Derek Bortis'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 Derek Bortis was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.