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SOUTHERN ASSISTED LIVING HOME
NPI 1730691288
Assisted Living Facility in Phoenix, AZ

Active since October 24, 2017
6013 S 47TH ST, PHOENIX, AZ 85042(602) 426-0332(602) 601-7067 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Southern Assisted Living Home NPPES

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

SOUTHERN ASSISTED LIVING HOME (NPI 1730691288) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since October 2017. The organization lists Julia Erickson, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1730691288
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN ASSISTED LIVING, LLC
Location Address6013 S 47TH STPhoenix, AZ 85042-5312
Mailing Address6013 S 47th StPhoenix, AZ 85042-5312 · (602) 426-0332 · Fax (602) 601-7067
Phone(602) 426-0332
Fax(602) 601-7067
Organization SubpartNo
Authorized OfficialJulia EricksonOperations Manager · (602) 426-0332
Enumeration DateOctober 24, 2017
✔ NPI 1730691288 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 · AL9327H
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.
6013 S 47TH ST, Phoenix, AZ 85042
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Other Names 1

Doing Business AsSouthern Assisted Living Home

Other Identifiers 1

OtherAL9327HAZ · License

Other Providers at the Same Location NPPES 2

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

AZ SUPERIOR HOSPICE CARE, LLC
Hospice Care, Community Based
6013 S 47TH ST
PHOENIX, AZ 85042
Maricopa County (480) 823-8848
C AND S TRADERS
Assisted Living Facility
6013 S 47TH ST
PHOENIX, AZ 85042
Maricopa County (480) 643-0599

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 Southern Assisted Living, LLC's NPI number?

The NPI number for Southern Assisted Living, LLC is 1730691288. It was assigned to this organization in the NPPES registry on October 24, 2017. The provider is doing business as Southern Assisted Living Home.

Where is Southern Assisted Living, LLC located?

Southern Assisted Living, LLC is located at 6013 S 47th St, Phoenix, AZ 85042. The listed phone number is (602) 426-0332.

What is Southern Assisted Living, 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 Southern Assisted Living, LLC was last updated on October 24, 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.