SUMMERHAVEN ASSISTED LIVING HOME LLC
NPI 1679088504
Assisted Living Facility in Phoenix, AZ

Q: What is Summerhaven Assisted Living Home LLC's NPI number?

The NPI number for Summerhaven Assisted Living Home LLC is 1679088504. It was assigned to this organization in the NPPES registry on December 14, 2017.

Q: What is Summerhaven Assisted Living Home LLC's specialty?

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

Active since December 14, 2017

3118 W T RYAN LN, PHOENIX, AZ 85041(602) 621-6337(602) 601-7727 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Summerhaven Assisted Living Home Llc NPPES

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

SUMMERHAVEN ASSISTED LIVING HOME LLC (NPI 1679088504) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since December 2017. The organization lists Rochelle J Anderson, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1679088504

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSUMMERHAVEN ASSISTED LIVING HOME LLC

Location Address3118 W T RYAN LNPhoenix, AZ 85041-5216

Mailing Address3118 W T Ryan LnPhoenix, AZ 85041-5216 · (602) 621-6337 · Fax (602) 601-7727

Phone(602) 621-6337

Fax(602) 601-7727

Organization SubpartNo

Authorized OfficialRochelle J AndersonOwner/manager · (602) 621-6337

Enumeration DateDecember 14, 2017

✔ NPI 1679088504 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 · AL10582F

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.

3118 W T RYAN LN, Phoenix, AZ 85041

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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.

ROCHELLE ANDERSON

Assisted Living Facility

3118 W T RYAN LN
PHOENIX, AZ 85041

Maricopa County (602) 621-6337

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 Summerhaven Assisted Living Home LLC's NPI number?

The NPI number for Summerhaven Assisted Living Home LLC is 1679088504. It was assigned to this organization in the NPPES registry on December 14, 2017.

Where is Summerhaven Assisted Living Home LLC located?

Summerhaven Assisted Living Home LLC is located at 3118 W T Ryan Ln, Phoenix, AZ 85041. The listed phone number is (602) 621-6337.

What is Summerhaven Assisted Living Home 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 Summerhaven Assisted Living Home LLC was last updated on December 14, 2017. 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.