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

Five Star Granite Gate, LLC

Organization Assisted Living Facility · NPI 1811191943

Five Star Granite Gate, LLC is an Assisted Living Facility in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
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

3850 N US Highway 89
Prescott, AZ 86301
Phone: (928) 771-8200
Fax: (928) 771-8213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Assisted Living Facility Taxonomy 310400000X · Licence ALC-6120 (AZ)

Record details

NPI number1811191943
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFive Star Granite Gate, LLC
Authorized official Paul Hoagland — Chief Financial Officer · (617) 796-8292
Other names Granite Gate Senior Living
NPI enumeratedJune 13, 2007
Last updated in NPPESSeptember 7, 2011
Mailing address400 Centre Street, Newton, MA 02458

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