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19th Avenue Operations, LLC

Skilled Nursing Facility in Phoenix, AZ · enumerated 2016 · authorized official Tracy Clark, Authorized Representative.

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

National Provider Identifier

1649627423

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Registry record

Entity type Organization (Type 2)
Legal business name 19th Avenue Operations, LLC
Other name <Unavail>
Practice address 6246 N 19th Ave, Phoenix, AZ, 85015
Phone (602) 433-6300
Fax (602) 433-6458
Enumeration date May 20, 2016
Last updated in NPPES Jan 4, 2017

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License AL10014C (AZ) Secondary
310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License AL10013C (AZ) Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NCI-2694 (AZ) Primary

Authorized official

Name Tracy Clark
Title Authorized Representative
Phone (310) 337-1929

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

Who is the authorized official for 19th Avenue Operations, LLC?
NPPES lists Tracy Clark (Authorized Representative) as the authorized official for this organization.
What is the NPI number for 19th Avenue Operations, LLC?
The NPI for 19th Avenue Operations, LLC is 1649627423, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-04.