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CSL COTTONWOOD LLC
NPI 1790513570
Assisted Living Facility in Cottonwood, AZ

Active since July 23, 2024
201 E MINGUS AVE, COTTONWOOD, AZ 86326(928) 634-4229(928) 634-5621 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Csl Cottonwood Llc NPPES

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

CSL COTTONWOOD LLC (NPI 1790513570) is a healthcare organization registered as an assisted living facility in Cottonwood, Arizona and active in the NPI registry since July 2024. The organization lists Monica Vigil, Medicaid Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1790513570
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCSL COTTONWOOD LLC
Location Address201 E MINGUS AVECottonwood, AZ 86326-3677
Mailing Address201 E Mingus AveCottonwood, AZ 86326-3677 · (928) 634-4229 · Fax (928) 634-5621
Phone(928) 634-4229
Fax(928) 634-5621
Organization SubpartYesParent: Capital Senior Living Properties 4, Inc.
Authorized OfficialMonica VigilMedicaid Billing Coordinator · (972) 308-8354
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1790513570 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.
201 E MINGUS AVE, Cottonwood, AZ 86326
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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 03D2195412

Csl Cottonwood, LLC · Cottonwood, AZ
Expired · Oct 7, 2026
CLIA Number03D2195412
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorAdrienne C. Ficken
Laboratory Phone(928) 634-4229
Laboratory LocationCsl Cottonwood, LLC201 E Mingus Ave, Cottonwood, AZ 86326
CLIA data matches this NPI record on: Address Name Phone
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 Csl Cottonwood LLC's NPI number?

The NPI number for Csl Cottonwood LLC is 1790513570. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Csl Cottonwood LLC located?

Csl Cottonwood LLC is located at 201 E Mingus Ave, Cottonwood, AZ 86326. The listed phone number is (928) 634-4229.

What is Csl Cottonwood 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 Csl Cottonwood LLC was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.