Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

19th Avenue Operations, LLC

Organization Assisted Living Facility · NPI 1649627423

19th Avenue Operations, LLC is an Assisted Living Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6246 N 19th Ave
Phoenix, AZ 85015-1511
Phone: (602) 433-6300
Fax: (602) 433-6458
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence NCI-2694 (AZ)
Assisted Living Facility Taxonomy 310400000X · Licence AL10014C (AZ)
Assisted Living Facility Taxonomy 310400000X · Licence AL10013C (AZ)

Record details

NPI number1649627423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Clark — Authorized Representative · (310) 337-1929
Other names The Palazzo
NPI enumeratedMay 20, 2016
Last updated in NPPESJanuary 4, 2017
Mailing address1000 Corporate Pointe, Suite 100, Culver City, CA 90230-7690

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