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

Beverly Assisted Living 1

Organization Assisted Living Facility · NPI 1235981416

Beverly Assisted Living 1 is an Assisted Living Facility in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

17647 N 33rd Ln
Phoenix, AZ 85053-6660
Phone: (602) 580-1512
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1235981416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isatu Davies-Anthony — Manager · (718) 594-4001
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address17647 N 33rd Ln, Phoenix, AZ 85053-6660

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