PONDEROSA SENIOR ASSISTED LIVING, LLC
NPI 1841474723
Clinic/Center in Bellemont, AZ

Q: What is Ponderosa Senior Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since December 27, 2007

4490 N BELLEMONT SPRINGS, BELLEMONT, AZ 86015(928) 213-1187 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ponderosa Senior Assisted Living, Llc NPPES

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

PONDEROSA SENIOR ASSISTED LIVING, LLC (NPI 1841474723) is a healthcare organization registered as a clinic/center in Bellemont, Arizona and active in the NPI registry since December 2007. The organization lists Lisa E Kennedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1841474723

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePONDEROSA SENIOR ASSISTED LIVING, LLC

Location Address4490 N BELLEMONT SPRINGSBellemont, AZ 86015

Mailing AddressPo Box 16193Bellemont, AZ 86015 · (928) 213-1187

Phone(928) 213-1187

Organization SubpartNo

Authorized OfficialLisa E KennedyOwner · (928) 213-1187

Enumeration DateDecember 27, 2007

✔ NPI 1841474723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4490 N BELLEMONT SPRINGS, Bellemont, AZ 86015

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Other Identifiers 1

OtherALH6417AZ · Assisted Living

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 Ponderosa Senior Assisted Living, LLC's NPI number?

The NPI number for Ponderosa Senior Assisted Living, LLC is 1841474723. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Ponderosa Senior Assisted Living, LLC located?

Ponderosa Senior Assisted Living, LLC is located at 4490 N Bellemont Springs, Bellemont, AZ 86015. The listed phone number is (928) 213-1187.

What is Ponderosa Senior Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ponderosa Senior Assisted Living, LLC was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.