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Ponderosa Assisted Living

Assisted Living Facility in Williams, AZ · enumerated 2008 · authorized official Lisa Kennedy, Owner/Manager.

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

National Provider Identifier

1912142324

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Registry record

Entity type Organization (Type 2)
Legal business name Ponderosa Assisted Living
Practice address 826 Hereford Dr, Williams, AZ, 86046
Phone (928) 635-4179
Enumeration date Dec 15, 2008
Last updated in NPPES Dec 15, 2008

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Lisa Kennedy
Title Owner/Manager
Phone (928) 635-4179

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 Ponderosa Assisted Living?
The NPI for Ponderosa Assisted Living is 1912142324, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ponderosa Assisted Living?
NPPES lists Lisa Kennedy (Owner/Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-15.