OrganizationActive
Ponderosa Senior Assisted Living, LLC
NPI 1841474723 · Clinic/Center · Bellemont, AZ
Ponderosa Senior Assisted Living, LLC is a Clinic/Center organization in Bellemont, AZ (NPI 1841474723).
Provider details
- NPI number
- 1841474723
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Kennedy, Owner(928) 213-1187
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4490 N Bellemont Springs
Bellemont, AZ 86015
Phone: (928) 213-1187
Street-level locationGet directions
Mailing address
Po Box 16193
Bellemont, AZ 86015
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2007-12-27
Frequently asked questions
- What is Ponderosa Senior Assisted Living, LLC's NPI number?
- Ponderosa Senior Assisted Living, LLC's National Provider Identifier (NPI) is 1841474723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponderosa Senior Assisted Living, LLC?
- Ponderosa Senior Assisted Living, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ponderosa Senior Assisted Living, LLC located?
- Ponderosa Senior Assisted Living, LLC's practice location on file with NPPES is 4490 N Bellemont Springs, Bellemont, AZ 86015.
- What is Ponderosa Senior Assisted Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ponderosa Senior Assisted Living, LLC is (928) 213-1187.
- Who is the authorized official for Ponderosa Senior Assisted Living, LLC?
- The authorized official listed on Ponderosa Senior Assisted Living, LLC's NPPES record is Lisa Kennedy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponderosa Senior Assisted Living, LLC's NPI active?
- Yes — Ponderosa Senior Assisted Living, LLC's NPI (1841474723) is active in the NPPES registry as of the last update on 2007-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.