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HOLY NAME ASSISTED LIVING, LLC
NPI 1639663271
Assisted Living Facility in Chandler, AZ

Active since June 18, 2018CLIA Certified · 2 labs
112 S NEBRASKA ST, CHANDLER, AZ 85225(480) 912-5388 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holy Name Assisted Living, Llc NPPES

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

HOLY NAME ASSISTED LIVING, LLC (NPI 1639663271) is a healthcare organization registered as an assisted living facility in Chandler, Arizona and active in the NPI registry since June 2018. The organization holds 2 active CLIA laboratory certificates and lists Lovely Tanglao, Owner, as its authorized official.

NPPES Registry Identity

NPI1639663271
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOLY NAME ASSISTED LIVING, LLC
Location Address112 S NEBRASKA STChandler, AZ 85225-9561
Mailing Address112 S Nebraska StChandler, AZ 85225-9561
Phone(480) 912-5388
Organization SubpartNo
Authorized OfficialLovely TanglaoOwner · (480) 912-5388
Enumeration DateJune 18, 2018
✔ NPI 1639663271 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.
112 S NEBRASKA ST, Chandler, AZ 85225
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CLIA Laboratory Certificates CMS CLIA 2

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 03D2071131

Holy Name Assisted Living, LLC · Chandler, AZ
Active · expires Nov 14, 2027
CLIA Number03D2071131
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorLemuel J. Tanglao
Laboratory Phone(480) 912-5388
Laboratory LocationHoly Name Assisted Living, LLC112 S Nebraska St, Chandler, AZ 85225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2175454

Holy Name Assisted Living, LLC · Chandler, AZ
Active · expires Nov 20, 2027
CLIA Number03D2175454
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorLemuel Tanglao
Laboratory Phone(480) 207-1192
Laboratory LocationHoly Name Assisted Living, LLC2571 S Eileen Dr, Chandler, AZ 85286
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Holy Name Assisted Living, LLC's NPI number?

The NPI number for Holy Name Assisted Living, LLC is 1639663271. It was assigned to this organization in the NPPES registry on June 18, 2018.

Where is Holy Name Assisted Living, LLC located?

Holy Name Assisted Living, LLC is located at 112 S Nebraska St, Chandler, AZ 85225. The listed phone number is (480) 912-5388.

What is Holy Name Assisted Living, LLC's specialty?

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

Does Holy Name Assisted Living, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Holy Name Assisted Living, LLC was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.