OrganizationActive
Pinetop Senior Living LLC
NPI 1215812102 · Assisted Living Facility · Lakeside, AZ
Pinetop Senior Living LLC is a Assisted Living Facility organization in Lakeside, AZ (NPI 1215812102).
Provider details
- NPI number
- 1215812102
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Kennedy, Manager(928) 532-4600
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5408 Highway 260 Bldg 15408
Lakeside, AZ 85929-5791
Phone: (928) 532-4600
Approximate (ZIP-level) locationGet directions
Mailing address
5408 Highway 260 Bldg 15408
Lakeside, AZ 85929-5791
Registry dates
- Enumerated
- 2025-08-08
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Frequently asked questions
- What is Pinetop Senior Living LLC's NPI number?
- Pinetop Senior Living LLC's National Provider Identifier (NPI) is 1215812102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pinetop Senior Living LLC?
- Pinetop Senior Living LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Pinetop Senior Living LLC located?
- Pinetop Senior Living LLC's practice location on file with NPPES is 5408 Highway 260 Bldg 15408, Lakeside, AZ 85929-5791.
- What is Pinetop Senior Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Pinetop Senior Living LLC is (928) 532-4600.
- Who is the authorized official for Pinetop Senior Living LLC?
- The authorized official listed on Pinetop Senior Living LLC's NPPES record is Michael Kennedy, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pinetop Senior Living LLC's NPI active?
- Yes — Pinetop Senior Living LLC's NPI (1215812102) is active in the NPPES registry as of the last update on 2025-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.