LAKESHORE CREST,LLC
NPI 1568758795
Assisted Living Facility in Glendale, AZ

Active since June 27, 2011
19535 N 55TH DR, GLENDALE, AZ 85308(623) 376-6469 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeshore Crest,llc NPPES

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

LAKESHORE CREST,LLC (NPI 1568758795) is a healthcare organization registered as an assisted living facility in Glendale, Arizona and active in the NPI registry since June 2011. The organization lists Mariafe Santos Castro, Manager, as its authorized official.

NPPES Registry Identity

NPI1568758795
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKESHORE CREST,LLC
Location Address19535 N 55TH DRGlendale, AZ 85308-6805
Mailing Address19535 N 55th DrGlendale, AZ 85308-6805 · (623) 376-6469
Organization SubpartNo
Authorized OfficialMariafe Santos CastroManager · (480) 518-1969
Enumeration DateJune 27, 2011
Last NPPES UpdateMarch 12, 2012
NPI 1568758795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in AZ · AL8496H
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.

19535 N 55TH DR, Glendale, AZ 85308

Other Identifiers 1

Medicaid629718AZ

Other Providers at the Same Location NPPES

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

Assisted Living Facility
19535 N 55TH DR
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 Lakeshore Crest,llc's NPI number?

The NPI number for Lakeshore Crest,llc is 1568758795. It was assigned to this organization in the NPPES registry on June 27, 2011.

Where is Lakeshore Crest,llc located?

Lakeshore Crest,llc is located at 19535 N 55th Dr, Glendale, AZ 85308. The listed phone number is (623) 376-6469.

What is Lakeshore Crest,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 Lakeshore Crest,llc was last updated on March 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.