Nina Nettles
NPI 1124165469 · Assisted Living Facility (Mental Illness) · Phoenix, AZ
Nina Nettles is a Assisted Living Facility (Mental Illness) organization in Phoenix, AZ (NPI 1124165469).
Provider details
- NPI number
- 1124165469
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nina Nettles, Administrator(602) 867-7500
- License
- BH2458 (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
19 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
- 2007-01-30
- Last updated
- 2008-06-16
Frequently asked questions
- What is Nina Nettles's NPI number?
- Nina Nettles's National Provider Identifier (NPI) is 1124165469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nina Nettles?
- Nina Nettles is classified in the NPPES registry as Assisted Living Facility (Mental Illness) (Nursing & Custodial Care Facilities).
- Where is Nina Nettles located?
- Nina Nettles's practice location on file with NPPES is 3643 E Emile Zola Ave, Phoenix, AZ 85032-6219.
- What is Nina Nettles's phone number?
- The practice phone number listed in the NPPES registry for Nina Nettles is (602) 867-7500.
- Who is the authorized official for Nina Nettles?
- The authorized official listed on Nina Nettles's NPPES record is Nina Nettles, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nina Nettles's NPI active?
- Yes — Nina Nettles's NPI (1124165469) is active in the NPPES registry as of the last update on 2008-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.