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Phoenix Senior Living LLC

Assisted Living Facility in Youngtown, AZ · enumerated 2007 · authorized official Jon Harder, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154541324

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Senior Living LLC
Other name <Unavail>
Practice address 12322 N 13th Avenue, Youngtown, AZ, 85363
Fax (503) 485-1279
Enumeration date Apr 27, 2007
Last updated in NPPES Jul 23, 2008

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License ALC5613 (AZ) Primary
311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities · License ALC5613 (AZ) Secondary

Authorized official

Name Jon Harder
Title Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Phoenix Senior Living LLC?
The NPI for Phoenix Senior Living LLC is 1154541324, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Phoenix Senior Living LLC?
NPPES lists Jon Harder (Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-23.