Phoenix Senior Living LLC
NPI 1154541324 · Assisted Living Facility · Youngtown, AZ
Phoenix Senior Living LLC is a Assisted Living Facility organization in Youngtown, AZ (NPI 1154541324).
Provider details
- NPI number
- 1154541324
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Harder, Manager(503) 485-8697
- License
- ALC5613 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
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
Other names (DBA / former)
- Doing business as
- Willow Creek Assisted Living & Memory Care Community
Registry dates
- Enumerated
- 2007-04-27
- Last updated
- 2008-07-23
Frequently asked questions
- What is Phoenix Senior Living LLC's NPI number?
- Phoenix Senior Living LLC's National Provider Identifier (NPI) is 1154541324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Senior Living LLC?
- Phoenix Senior Living LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Phoenix Senior Living LLC located?
- Phoenix Senior Living LLC's practice location on file with NPPES is 12322 N 13th Avenue, Youngtown, AZ 85363.
- What is Phoenix Senior Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Senior Living LLC is (623) 583-2460.
- Who is the authorized official for Phoenix Senior Living LLC?
- The authorized official listed on Phoenix Senior Living LLC's NPPES record is Jon Harder, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Senior Living LLC's NPI active?
- Yes — Phoenix Senior Living LLC's NPI (1154541324) is active in the NPPES registry as of the last update on 2008-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.