Northern Arizona Senior Living Community, L.L.C.
NPI 1679515449ActiveOrganization· Skilled Nursing Facility· Flagstaff, AZ
Skilled Nursing Facility in Flagstaff, Arizona, registered in NPPES in June 2006. The authorized official on file is Randall W. Benson, Authorized Official. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1679515449 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2006 |
| Last updated in NPPES | Feb 21, 2020 |
| Certified by provider | Feb 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | NCI-2515 | AZ |
| Assisted Living Facility | 310400000X | ALC-2517 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (AZ) |
|---|
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