Primavera Assisted Living LLC
NPI 1104696897 · Assisted Living Facility · Phoenix, AZ
Primavera Assisted Living LLC is a Assisted Living Facility organization in Phoenix, AZ (NPI 1104696897).
Provider details
- NPI number
- 1104696897
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joy Anne Marie Padron, Owner(951) 907-2289
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Primavera Assisted Living LLC
Registry dates
- Enumerated
- 2024-01-04
- Last updated
- 2024-01-04
- Certified
- 2024-01-04
Frequently asked questions
- What is Primavera Assisted Living LLC's NPI number?
- Primavera Assisted Living LLC's National Provider Identifier (NPI) is 1104696897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primavera Assisted Living LLC?
- Primavera Assisted Living LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Primavera Assisted Living LLC located?
- Primavera Assisted Living LLC's practice location on file with NPPES is 13644 N 33rd Ave, Phoenix, AZ 85029-1218.
- What is Primavera Assisted Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Primavera Assisted Living LLC is (951) 907-2289.
- Who is the authorized official for Primavera Assisted Living LLC?
- The authorized official listed on Primavera Assisted Living LLC's NPPES record is Joy Anne Marie Padron, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primavera Assisted Living LLC's NPI active?
- Yes — Primavera Assisted Living LLC's NPI (1104696897) is active in the NPPES registry as of the last update on 2024-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.