Organization · Type 2 NPI
Andravida Assisted Living Home LLC
Nursing Home Administrator · San Tan Valley, AZ
NPI number
1821995507
Active
Practice location
37046 N Andravida Dr
San Tan Valley, AZ 85140-1724
Mailing address
28977 N Fire Agate Rd
San Tan Valley, AZ 85143-6308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | None listed |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1821995507
Andravida Assisted Living Home LLC's National Provider Identifier is 1821995507, issued on Oct 24, 2026. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Oct 24, 2026.