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VERDE VALLEY ASSISTED LIVING
NPI 1881305647
Assisted Living Facility in Cottonwood, AZ

Active since December 12, 2022CLIA 03D2210807 · Waiver
195 S WILLARD ST, COTTONWOOD, AZ 86326(928) 634-4278 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Aug 13, 2024, Feb 28, 2023 and 1 more (4 updates tracked since 2022).

About Verde Valley Assisted Living NPPES

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

VERDE VALLEY ASSISTED LIVING (NPI 1881305647) is a healthcare organization registered as an assisted living facility in Cottonwood, Arizona and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1881305647
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILLARD COMMUNITY HEALTHCARE, LLC
Location Address195 S WILLARD STCottonwood, AZ 86326-4123
Mailing Address262 N University AveFarmington, UT 84025-2975
Phone(928) 634-4278
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateDecember 12, 2022
Last NPPES UpdateAugust 20, 20244 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1881305647 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.
195 S WILLARD ST, Cottonwood, AZ 86326
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Other Names 1

Doing Business AsVerde Valley Assisted Living

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 03D2210807

Verde Valley Assisted Living · Cottonwood, AZ
Active · expires Jan 24, 2027
CLIA Number03D2210807
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorLinda S. Roemer
Laboratory Phone(928) 634-4278
Laboratory LocationVerde Valley Assisted Living195 Willard St, Cottonwood, AZ 86326
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

WINDSOR AUSTIN HOUSE, LLC
Assisted Living Facility
195 S WILLARD ST
COTTONWOOD, AZ 86326
Yavapai County (928) 634-4278
AUSTIN HOUSE INC.
Assisted Living Facility
195 S WILLARD ST
COTTONWOOD, AZ 86326
Yavapai County (928) 634-4278
SLO AUSTIN HOUSE, LLC
Assisted Living Facility
195 S WILLARD ST
COTTONWOOD, AZ 86326
Yavapai County (928) 634-4278
WINDSOR AUSTIN HOUSE, LLC
Skilled Nursing Facility
195 S WILLARD ST
COTTONWOOD, AZ 86326
Yavapai County (928) 634-4278

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 Willard Community Healthcare, LLC's NPI number?

The NPI number for Willard Community Healthcare, LLC is 1881305647. It was assigned to this organization in the NPPES registry on December 12, 2022. The provider is doing business as Verde Valley Assisted Living.

Where is Willard Community Healthcare, LLC located?

Willard Community Healthcare, LLC is located at 195 S Willard St, Cottonwood, AZ 86326. The listed phone number is (928) 634-4278.

What is Willard Community Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Willard Community Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2210807) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Willard Community Healthcare, LLC was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.