Organization · Type 2 NPI

Phoenix Jewish Community Kivel Nursing Home

Assisted Living Facility · Phoenix, AZ

NPI number 1225052814 Active

Practice location

3040 N 36th St, Kivel Manor Assisted Living
Phoenix, AZ 85018

Fax (602) 957-9493

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	ALC-5831 (AZ)

Assisted Living Facility: 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.

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NPI record

NPI: 1225052814
Entity type: Organization (Type 2)
Issued: Jul 27, 2006
Last updated: Sep 29, 2021
Status: Active

Other names

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Kivel Manor Assisted Living Center · doing business as
Phoenix Jewish Community Kivel Nursing Home · former legal business name
Phoenix Jewish Community Kivel Nursing Home · former legal business name

Authorized official

Mr. Ira Shulman
CEO
(602) 443-8020

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About NPI 1225052814

Phoenix Jewish Community Kivel Nursing Home's National Provider Identifier is 1225052814, issued on Jul 27, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 29, 2021.