HAWTHORN COURT AT AHWATUKEE
NPI 1619517356
Assisted Living Facility in Phoenix, AZ

Active since January 10, 2020CLIA 03D2001358 · Waiver
13822 S 46TH PL, PHOENIX, AZ 85044(480) 598-1224(480) 598-9407 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2021, Jan 10, 2020 (2 updates tracked since 2020).

About Hawthorn Court At Ahwatukee NPPES

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

HAWTHORN COURT AT AHWATUKEE (NPI 1619517356) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through August 8, 2026 and lists Gregory A. Roderick, Member, as its authorized official.

NPPES Registry Identity

NPI1619517356
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAHWATUKEE MC CARE PROPERTIES, LLC
Location Address13822 S 46TH PLPhoenix, AZ 85044-4844
Mailing Address7420 Sw Bridgeport Rd Ste 105Portland, OR 97224-7790 · (503) 597-4906
Fax(480) 598-9407
Organization SubpartNo
Authorized OfficialGregory A. RoderickMember · (503) 443-1818
Enumeration DateJanuary 10, 2020
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
NPI 1619517356 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.
13822 S 46TH PL, Phoenix, AZ 85044

Other Names 1

Doing Business AsHawthorn Court At Ahwatukee

Other Identifiers 1

Other594719AZ · Ahcccs

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2001358

Hawthorn Court · Phoenix, AZ
Active · expires Aug 8, 2026
CLIA Number03D2001358
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorStacey Allen-Begley
Laboratory Phone(480) 598-1224
Laboratory LocationHawthorn Court13822 S 46th Place, Phoenix, AZ 85044
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Occupational Therapist
13822 S 46TH PL
PHOENIX, AZ 85044

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 Ahwatukee Mc Care Properties, LLC's NPI number?

The NPI number for Ahwatukee Mc Care Properties, LLC is 1619517356. It was assigned to this organization in the NPPES registry on January 10, 2020. The provider is doing business as Hawthorn Court At Ahwatukee.

Where is Ahwatukee Mc Care Properties, LLC located?

Ahwatukee Mc Care Properties, LLC is located at 13822 S 46th Pl, Phoenix, AZ 85044. The listed phone number is (480) 598-1224.

What is Ahwatukee Mc Care Properties, LLC's specialty?

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

Does Ahwatukee Mc Care Properties, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2001358) is associated with this NPI, valid through August 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ahwatukee Mc Care Properties, LLC was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.