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PINE MEADOWS RANCH
NPI 1629325782
Assisted Living Facility in Flagstaff, AZ

Active since August 08, 2012
7885 EASY ST, FLAGSTAFF, AZ 86004(928) 635-6750 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Meadows Ranch NPPES

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

PINE MEADOWS RANCH (NPI 1629325782) is a healthcare organization registered as an assisted living facility in Flagstaff, Arizona and active in the NPI registry since August 2012. The organization lists Donna Lynn Rose, Owner, as its authorized official.

NPPES Registry Identity

NPI1629325782
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePINE MEADOWS RANCH
Location Address7885 EASY STFlagstaff, AZ 86004-3268
Mailing Address7885 Easy StFlagstaff, AZ 86004-3268 · (928) 635-6750
Phone(928) 635-6750
Organization SubpartNo
Authorized OfficialDonna Lynn RoseOwner · (928) 635-6750
Enumeration DateAugust 8, 2012
✔ NPI 1629325782 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 · AL8132H
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.
7885 EASY ST, Flagstaff, AZ 86004
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Other Identifiers 1

Medicaid283478AZ

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 Pine Meadows Ranch's NPI number?

The NPI number for Pine Meadows Ranch is 1629325782. It was assigned to this organization in the NPPES registry on August 8, 2012.

Where is Pine Meadows Ranch located?

Pine Meadows Ranch is located at 7885 Easy St, Flagstaff, AZ 86004. The listed phone number is (928) 635-6750.

What is Pine Meadows Ranch'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 Pine Meadows Ranch was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.