1. Home
  2. Directory
  3. Arizona
  4. Peoria
  5. Assisted Living Facility
  6. NPI Profile

AGUA FRIA SENIOR LIVING, LLC
NPI 1912536368
Assisted Living Facility in Peoria, AZ

Active since April 07, 2020
8880 N 107TH AVE, PEORIA, AZ 85345(623) 266-0999(623) 215-7703 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agua Fria Senior Living, Llc NPPES

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

AGUA FRIA SENIOR LIVING, LLC (NPI 1912536368), doing business as The Mission At Agua Fria, is a healthcare organization registered as an assisted living facility in Peoria, Arizona and active in the NPI registry since April 2020. The organization lists Douglas Hamilton, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1912536368
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAGUA FRIA SENIOR LIVING, LLC
Location Address8880 N 107TH AVEPeoria, AZ 85345-2908
Mailing Address14650 N 78th Way Ste BScottsdale, AZ 85260-2970 · (602) 544-3195 · Fax (602) 553-7574
Phone(623) 266-0999
Fax(623) 215-7703
Organization SubpartNo
Authorized OfficialDouglas HamiltonManaging Member · (480) 368-5755
Enumeration DateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1912536368 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.
8880 N 107TH AVE, Peoria, AZ 85345
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Mission At Agua Fria

Other Identifiers 2

OtherAL10709CAZ · Arizona Department Of Health Services
Medicaid527346AZ

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 Agua Fria Senior Living, LLC's NPI number?

The NPI number for Agua Fria Senior Living, LLC is 1912536368. It was assigned to this organization in the NPPES registry on April 7, 2020. The provider is doing business as The Mission at Agua Fria.

Where is Agua Fria Senior Living, LLC located?

Agua Fria Senior Living, LLC is located at 8880 N 107th Ave, Peoria, AZ 85345. The listed phone number is (623) 266-0999.

What is Agua Fria Senior 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 Agua Fria Senior Living, LLC was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.