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JASMINE HOUSE
NPI 1659497105
Assisted Living Facility in Lake Havasu, AZ

Active since March 22, 2007
3076 SHOSHONE DRIVE, LAKE HAVASU, AZ 86406(928) 680-1701(520) 680-1575 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jasmine House NPPES

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

JASMINE HOUSE (NPI 1659497105) is a healthcare organization registered as an assisted living facility in Lake Havasu, Arizona and active in the NPI registry since March 2007. The organization lists Walter A Levonowich, Vice President And Controller, as its authorized official.

NPPES Registry Identity

NPI1659497105
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameASSISTED LIVING CONCEPTS INC
Location Address3076 SHOSHONE DRIVELake Havasu, AZ 86406
Mailing Address111 W Michigan Street, 9th FloorMilwaukee, WI 53203 · (414) 908-8800 · Fax (414) 908-8212
Phone(928) 680-1701
Fax(520) 680-1575
Organization SubpartNo
Authorized OfficialWalter A LevonowichVice President And Controller · (414) 908-8800
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1659497105 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 · ALC 4345
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.
3076 SHOSHONE DRIVE, Lake Havasu, AZ 86406
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Other Names 1

Doing Business AsJasmine House

Other Identifiers 1

Medicaid379463AZ

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 Assisted Living Concepts Inc's NPI number?

The NPI number for Assisted Living Concepts Inc is 1659497105. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is doing business as Jasmine House.

Where is Assisted Living Concepts Inc located?

Assisted Living Concepts Inc is located at 3076 Shoshone Drive, Lake Havasu, AZ 86406. The listed phone number is (928) 680-1701.

What is Assisted Living Concepts Inc'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 Assisted Living Concepts Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.