DAISY MENJIVAR
NPI 1962143669
Nursing Home Administrator in Glendale, AZ

Active since April 05, 2022
19918 N 65TH AVE, GLENDALE, AZ 85308(480) 806-9877 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daisy Menjivar NPPES

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

DAISY MENJIVAR (NPI 1962143669) is an individual nursing home administrator provider in Glendale, Arizona, licensed in Arizona (AL10812H) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1962143669
Entity TypeIndividualFemale
Primary Taxonomy376G00000X
Provider Legal NameDAISY MENJIVAR
Location Address19918 N 65TH AVEGlendale, AZ 85308-7088
Mailing Address19918 N 65th AveGlendale, AZ 85308-7088 · (480) 806-9877
Sole ProprietorYes
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
NPI 1962143669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
License Licensed in AZ · AL10812H
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
19918 N 65TH AVE, Glendale, AZ 85308

Other Names 1

Former Name (1)Daisy Menjivar

Other Identifiers 1

Medicaid881159309AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Durable Medical Equipment & Medical Supplies
19918 N 65TH AVE
GLENDALE, AZ 85308
Assisted Living Facility
19918 N 65TH AVE
GLENDALE, AZ 85308
Assisted Living Facility
19918 N 65TH AVE
GLENDALE, AZ 85308

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 Daisy Menjivar's NPI number?

The NPI number for Daisy Menjivar is 1962143669. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Daisy Menjivar located?

Daisy Menjivar practices at 19918 N 65th Ave, Glendale, AZ 85308. The listed phone number is (480) 806-9877.

What is Daisy Menjivar's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Daisy Menjivar was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.