Boulder Gardens Assistant Living, LLC
NPI 1114262292 · Assisted Living Facility · Prescott, AZ
Boulder Gardens Assistant Living, LLC is a Assisted Living Facility organization in Prescott, AZ (NPI 1114262292).
Provider details
- NPI number
- 1114262292
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Carl Zimmerman, Senior Vice President(520) 352-3019
- License
- AL1494C (AZ)
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
13 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
Registry dates
- Enumerated
- 2012-11-30
- Last updated
- 2012-11-30
Frequently asked questions
- What is Boulder Gardens Assistant Living, LLC's NPI number?
- Boulder Gardens Assistant Living, LLC's National Provider Identifier (NPI) is 1114262292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulder Gardens Assistant Living, LLC?
- Boulder Gardens Assistant Living, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Boulder Gardens Assistant Living, LLC located?
- Boulder Gardens Assistant Living, LLC's practice location on file with NPPES is 860 Dougherty St, Prescott, AZ 86305-1841.
- What is Boulder Gardens Assistant Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Boulder Gardens Assistant Living, LLC is (928) 778-9667.
- Who is the authorized official for Boulder Gardens Assistant Living, LLC?
- The authorized official listed on Boulder Gardens Assistant Living, LLC's NPPES record is Carl Zimmerman, Senior Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulder Gardens Assistant Living, LLC's NPI active?
- Yes — Boulder Gardens Assistant Living, LLC's NPI (1114262292) is active in the NPPES registry as of the last update on 2012-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.