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

Hallmark Assisted Living @ Wagoner, LLC

Organization Assisted Living Facility · NPI 1639526635

Hallmark Assisted Living @ Wagoner, LLC is an Assisted Living Facility in Glendale, Arizona. Registered with an NPI since 2016.

In the registry since
2016
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

6127 W Wagoner Rd
Glendale, AZ 85308-1150
Phone: (602) 354-8941
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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

Record details

NPI number1639526635
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Tilley — Manager · (602) 695-4156
NPI enumeratedMay 19, 2016
Last updated in NPPESMay 19, 2016
Mailing address4365 E Pecos Rd Ste 133, Gilbert, AZ 85295-8053

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