GOLDWATER LEGACY ASSISTED LIVING LLC
NPI 1841782638
Assisted Living Facility in Glendale, AZ

Active since June 06, 2018
6640 W PINNACLE PEAK RD, GLENDALE, AZ 85310(480) 544-9334 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goldwater Legacy Assisted Living Llc NPPES

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

GOLDWATER LEGACY ASSISTED LIVING LLC (NPI 1841782638), doing business as Gold Water Assisted Living Ii, is a healthcare organization registered as an assisted living facility in Glendale, Arizona and active in the NPI registry since June 2018. The organization lists Stephen Tohatan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1841782638
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGOLDWATER LEGACY ASSISTED LIVING LLC
Location Address6640 W PINNACLE PEAK RDGlendale, AZ 85310-3409
Mailing Address6640 W Pinnacle Peak RdGlendale, AZ 85310-3409 · (480) 544-9334
Organization SubpartNo
Authorized OfficialStephen TohatanAdministrator · (480) 544-9334
Enumeration DateJune 6, 2018
Last NPPES UpdateJune 16, 2018
NPI 1841782638 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 · AL9797H
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.
6640 W PINNACLE PEAK RD, Glendale, AZ 85310

Other Names 1

Former Legal Business NameGold Water Assisted Living Ii

Other Identifiers 1

Other0Private Pay

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 Goldwater Legacy Assisted Living LLC's NPI number?

The NPI number for Goldwater Legacy Assisted Living LLC is 1841782638. It was assigned to this organization in the NPPES registry on June 6, 2018. The provider was formerly known as Gold Water Assisted Living II.

Where is Goldwater Legacy Assisted Living LLC located?

Goldwater Legacy Assisted Living LLC is located at 6640 W Pinnacle Peak Rd, Glendale, AZ 85310. The listed phone number is (480) 544-9334.

What is Goldwater Legacy 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 Goldwater Legacy Assisted Living LLC was last updated on June 16, 2018. 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.