OrganizationActive
Ac Assisted Living
NPI 1104315126 · Assisted Living Facility · Phoenix, AZ
Provider details
- NPI number
- 1104315126
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Helen Dike, Director(480) 203-5862
- License
- AL10714H (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
3907 W. Lane Ave
Phoenix, AZ 85051-5754
Phone: (623) 547-7232
Fax: (623) 215-2341
Street-level locationGet directions
Mailing address
3907 W. Lane Ave
Phoenix, AZ 85051-5754
Other names (DBA / former)
- Doing business as
- Ac Assisted Living
Registry dates
- Enumerated
- 2018-05-04
- Last updated
- 2021-02-24
- Certified
- 2021-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.