ATIVO SENIOR LIVING PRESCOTT VALLEY
NPI 1922889047
Assisted Living Facility in Prescott Valley, AZ
About Ativo Senior Living Prescott Valley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATIVO SENIOR LIVING PRESCOTT VALLEY (NPI 1922889047) is a healthcare organization registered as an assisted living facility in Prescott Valley, Arizona and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Ronald Ziebart, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 03D2291645
Pines At Prescott Valley LLC, The Dba Ativo Senior Living Of Prescott · Prescott Valley, AZFrequently 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 The Pines At Prescott Valley LLC's NPI number?
The NPI number for The Pines At Prescott Valley LLC is 1922889047. It was assigned to this organization in the NPPES registry on October 13, 2023. The provider is doing business as Ativo Senior Living Prescott Valley.
Where is The Pines At Prescott Valley LLC located?
The Pines At Prescott Valley LLC is located at 3951 N Viewpoint Dr, Prescott Valley, AZ 86314. The listed phone number is (928) 888-6246.
What is The Pines At Prescott Valley LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does The Pines At Prescott Valley LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2291645) is associated with this NPI, valid through October 12, 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 The Pines At Prescott Valley LLC was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ativo Senior Living Prescott Valley · NPI 1922889047
Assisted Living Facility organization in Prescott Valley, Arizona. Organization record, active in the CMS NPPES registry since October 13, 2023.
## Identity
- **NPI:** 1922889047 (Entity type: Organization)
- **Enumerated:** October 13, 2023
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** The Pines At Prescott Valley Llc
- **Organization subpart:** No
- **Authorized official:** Ronald Ziebart, MANAGING MEMBER
## Practice location
- **Address:** 3951 N VIEWPOINT DR, Prescott Valley, AZ 86314-2689
- **Phone:** (928) 888-6246
## Record status
- **NPPES last updated:** October 13, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922889047) · Data from the CMS NPPES public registry.