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

VENTANA WINDS LLC
NPI 1942736582
Assisted Living Facility in Youngtown, AZ

Active since May 02, 2017CLIA 03D1099096 · Waiver
12322 N 113TH AVE, YOUNGTOWN, AZ 85363(623) 583-2460(623) 583-4677 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ventana Winds Llc NPPES

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

VENTANA WINDS LLC (NPI 1942736582) is a healthcare organization registered as an assisted living facility in Youngtown, Arizona and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Melba White, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1942736582
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVENTANA WINDS LLC
Location Address12322 N 113TH AVEYoungtown, AZ 85363-1268
Mailing Address12322 N 113th AveYoungtown, AZ 85363-1268 · (623) 583-2460 · Fax (623) 583-4677
Phone(623) 583-2460
Fax(623) 583-4677
Organization SubpartNo
Authorized OfficialMelba WhiteRegional Director · (623) 583-2460
Enumeration DateMay 2, 2017
✔ NPI 1942736582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AZ · AL8153C
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.
12322 N 113TH AVE, Youngtown, AZ 85363
Open in Google Maps ↗

Other Identifiers 1

Medicaid541617AZ

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 03D1099096

Ventana Winds Assisted Living & Memory Care · Youngtown, AZ
Active · expires May 4, 2027
CLIA Number03D1099096
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorJenelle R. Johnson
Laboratory Phone(623) 583-2460
Laboratory LocationVentana Winds Assisted Living & Memory Care12322 N 113th Ave, Youngtown, AZ 85363
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ventana Winds LLC's NPI number?

The NPI number for Ventana Winds LLC is 1942736582. It was assigned to this organization in the NPPES registry on May 2, 2017.

Where is Ventana Winds LLC located?

Ventana Winds LLC is located at 12322 N 113th Ave, Youngtown, AZ 85363. The listed phone number is (623) 583-2460.

What is Ventana Winds LLC's specialty?

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

Does Ventana Winds LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1099096) is associated with this NPI, valid through May 4, 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 Ventana Winds LLC was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.