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MARYLAND GARDENS ASSISTED LIVING
NPI 1689373649
Assisted Living Facility in Phoenix, AZ

Active since February 28, 2023CLIA 03D0526658 · Waiver
31 W MARYLAND AVE, PHOENIX, AZ 85013(602) 265-7484 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2024, Aug 16, 2024, Mar 14, 2023 and 1 more (4 updates tracked since 2023).

About Maryland Gardens Assisted Living NPPES

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

MARYLAND GARDENS ASSISTED LIVING (NPI 1689373649) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1689373649
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMARYLAND GARDENS SNF, LLC
Location Address31 W MARYLAND AVEPhoenix, AZ 85013-1227
Mailing Address262 N University AveFarmington, UT 84025-2975
Phone(602) 265-7484
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateFebruary 28, 2023
Last NPPES UpdateAugust 23, 20244 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1689373649 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.

31 W MARYLAND AVE, Phoenix, AZ 85013
Open in Google Maps ↗

Other Names 1

Doing Business AsMaryland Gardens Assisted Living

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 03D0526658

Maryland Gardens Post Acute · Phoenix, AZ
Active · expires Aug 31, 2026
CLIA Number03D0526658
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRandolph Aaron Clark
Laboratory Phone(602) 265-7484
Laboratory LocationMaryland Gardens Post Acute31 W Maryland Ave, Phoenix, AZ 85013
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

SENIOR LIVING OPTIONS MARYLAND GARDENS, LLC
Skilled Nursing Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
SENIOR LIVING OPTIONS MARYLAND GARDENS, LLC
Alzheimer Center (Dementia Center)
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
WINDSOR MARYLAND GARDENS, LLC
Skilled Nursing Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
WINDSOR MARYLAND GARDENS, LLC
Alzheimer Center (Dementia Center)
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
MARYLAND GARDENS SNF, LLC
Skilled Nursing Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
AARON LI MD
General Practice
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (310) 445-5999
MR. THEMBANI TIMOTHY HLAZO-THREADGILL
Counselor (Professional)
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484

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 Maryland Gardens Snf, LLC's NPI number?

The NPI number for Maryland Gardens Snf, LLC is 1689373649. It was assigned to this organization in the NPPES registry on February 28, 2023. The provider is doing business as Maryland Gardens Assisted Living.

Where is Maryland Gardens Snf, LLC located?

Maryland Gardens Snf, LLC is located at 31 W Maryland Ave, Phoenix, AZ 85013. The listed phone number is (602) 265-7484.

What is Maryland Gardens Snf, LLC's specialty?

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

Does Maryland Gardens Snf, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0526658) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maryland Gardens Snf, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Maryland Gardens Snf, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryland Gardens Snf, LLC was last updated on August 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.