HALLMARK ASSISTED LIVING @ WAGONER, LLC
NPI 1639526635
Assisted Living Facility in Glendale, AZ

Q: What is Hallmark Assisted Living @ Wagoner, LLC's specialty?

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

Active since May 19, 2016

6127 W WAGONER RD, GLENDALE, AZ 85308(602) 354-8941 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hallmark Assisted Living @ Wagoner, Llc NPPES

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

HALLMARK ASSISTED LIVING @ WAGONER, LLC (NPI 1639526635) is a healthcare organization registered as an assisted living facility in Glendale, Arizona and active in the NPI registry since May 2016. The organization lists Jeff Tilley, Manager, as its authorized official.

NPPES Registry Identity

NPI1639526635

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHALLMARK ASSISTED LIVING @ WAGONER, LLC

Location Address6127 W WAGONER RDGlendale, AZ 85308-1150

Mailing Address4365 E Pecos Rd Ste 133Gilbert, AZ 85295-8053

Phone(602) 354-8941

Organization SubpartNo

Authorized OfficialJeff TilleyManager · (602) 695-4156

Enumeration DateMay 19, 2016

✔ NPI 1639526635 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.

6127 W WAGONER RD, Glendale, AZ 85308

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Other Providers at the Same Location NPPES

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

WAGONER CARE LLC

Community Based Residential Treatment Facility, Mental Illness

6127 W WAGONER RD
GLENDALE, AZ 85308

Maricopa County (602) 334-1788

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 Hallmark Assisted Living @ Wagoner, LLC's NPI number?

The NPI number for Hallmark Assisted Living @ Wagoner, LLC is 1639526635. It was assigned to this organization in the NPPES registry on May 19, 2016.

Where is Hallmark Assisted Living @ Wagoner, LLC located?

Hallmark Assisted Living @ Wagoner, LLC is located at 6127 W Wagoner Rd, Glendale, AZ 85308. The listed phone number is (602) 354-8941.

What is Hallmark Assisted Living @ Wagoner, 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 Hallmark Assisted Living @ Wagoner, LLC was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.