OrganizationActive
Blackbird Senior Living, Inc.
NPI 1093467623 · Assisted Living Facility · Mesa, AZ
Blackbird Senior Living, Inc. is a Assisted Living Facility organization in Mesa, AZ (NPI 1093467623).
Provider details
- NPI number
- 1093467623
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer(949) 540-1249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
520 S Higley Rd
Mesa, AZ 85206-2153
Phone: (480) 832-7600
Fax: (480) 832-3860
Street-level locationGet directions
Mailing address
520 S Higley Rd
Mesa, AZ 85206-2153
Other names (DBA / former)
- Doing business as
- The Citadel Assisted Living Facility
Registry dates
- Enumerated
- 2022-01-25
- Last updated
- 2022-03-28
- Certified
- 2022-03-28
Frequently asked questions
- What is Blackbird Senior Living, Inc.'s NPI number?
- Blackbird Senior Living, Inc.'s National Provider Identifier (NPI) is 1093467623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackbird Senior Living, Inc.?
- Blackbird Senior Living, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Blackbird Senior Living, Inc. located?
- Blackbird Senior Living, Inc.'s practice location on file with NPPES is 520 S Higley Rd, Mesa, AZ 85206-2153.
- What is Blackbird Senior Living, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Blackbird Senior Living, Inc. is (480) 832-7600.
- Who is the authorized official for Blackbird Senior Living, Inc.?
- The authorized official listed on Blackbird Senior Living, Inc.'s NPPES record is Soon Burnam, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackbird Senior Living, Inc.'s NPI active?
- Yes — Blackbird Senior Living, Inc.'s NPI (1093467623) is active in the NPPES registry as of the last update on 2022-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.