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

Ivy Lane Assisted Living, LLC

Organization Assisted Living Facility · NPI 1376059550

Ivy Lane Assisted Living, LLC is an Assisted Living Facility in Surprise, Arizona. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

18379 W Ivy Ln
Surprise, AZ 85388-2367
Phone: (623) 544-2805
Fax: (623) 399-6561
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 number1376059550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denisa Kaporalis — Manager · (602) 339-3617
NPI enumeratedDecember 24, 2017
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address18379 W Ivy Ln, Surprise, AZ 85388-2367

Other providers in Surprise