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JOLLEY FAMILY ASSISTED LIVING III
NPI 1881043503
Custodial Care Facility - Adult Care Home in Buckeye, AZ

Active since June 03, 2016
20104 W BROADWAY RD, BUCKEYE, AZ 85326(623) 327-9573(623) 327-9586 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jolley Family Assisted Living Iii NPPES

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

JOLLEY FAMILY ASSISTED LIVING III (NPI 1881043503) is a healthcare organization registered as an adult care home in Buckeye, Arizona and active in the NPI registry since June 2016. The organization lists Fay Jolley-webster, Owner, as its authorized official.

NPPES Registry Identity

NPI1881043503
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameJOLLEY FAMILY ASSISTED LIVING III
Location Address20104 W BROADWAY RDBuckeye, AZ 85326-5753
Mailing Address20110 W Broadway RdBuckeye, AZ 85326-5753 · (623) 386-2201 · Fax (623) 386-0189
Phone(623) 327-9573
Fax(623) 327-9586
Organization SubpartYesParent: Jolley Family Assisted Living, Llc
Authorized OfficialFay Jolley-websterOwner · (602) 571-0529
Enumeration DateJune 3, 2016
✔ NPI 1881043503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in AZ · AL8243H
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
20104 W BROADWAY RD, Buckeye, AZ 85326
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Other Identifiers 1

Other304300AZ · Ahcccs

Other Providers at the Same Location NPPES

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

JOLLEY FAMILY BEHAVIORAL HEALTH
Community/Behavioral Health
20104 W BROADWAY RD
BUCKEYE, AZ 85326
Maricopa County (623) 327-9573

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 Jolley Family Assisted Living III's NPI number?

The NPI number for Jolley Family Assisted Living III is 1881043503. It was assigned to this organization in the NPPES registry on June 3, 2016.

Where is Jolley Family Assisted Living III located?

Jolley Family Assisted Living III is located at 20104 W Broadway Rd, Buckeye, AZ 85326. The listed phone number is (623) 327-9573.

What is Jolley Family Assisted Living III's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Jolley Family Assisted Living III was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.