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PONDEROSA ASSISTED LIVING
NPI 1912142324
Assisted Living Facility in Williams, AZ

Active since December 15, 2008
826 HEREFORD DR, WILLIAMS, AZ 86046(928) 635-4179 Get Directions Write a Review

NPPES record last updated: December 15, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ponderosa Assisted Living NPPES

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

PONDEROSA ASSISTED LIVING (NPI 1912142324) is a healthcare organization registered as an assisted living facility in Williams, Arizona and active in the NPI registry since December 2008. The organization lists Lisa E Kennedy, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1912142324
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePONDEROSA ASSISTED LIVING
Location Address826 HEREFORD DRWilliams, AZ 86046-9789
Mailing AddressPo Box 16153Bellemont, AZ 86015-6153 · (928) 635-4199
Phone(928) 635-4179
Organization SubpartNo
Authorized OfficialLisa E KennedyOwner/manager · (928) 635-4179
Enumeration DateDecember 15, 2008
✔ NPI 1912142324 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.
826 HEREFORD DR, Williams, AZ 86046
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Other Providers at the Same Location NPPES

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

ARIZONA SENIOR CARE CENTERS
Assisted Living Facility
826 HEREFORD DR
WILLIAMS, AZ 86046
Coconino County (928) 853-4486

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 Assisted Living's NPI number?

The NPI number for Ponderosa Assisted Living is 1912142324. It was assigned to this organization in the NPPES registry on December 15, 2008.

Where is Ponderosa Assisted Living located?

Ponderosa Assisted Living is located at 826 Hereford Dr, Williams, AZ 86046. The listed phone number is (928) 635-4179.

What is Ponderosa Assisted Living'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 Ponderosa Assisted Living was last updated on December 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.