Ponderosa Assisted Living
NPI 1912142324 · Assisted Living Facility · Williams, AZ
Ponderosa Assisted Living is a Assisted Living Facility organization in Williams, AZ (NPI 1912142324).
Provider details
- NPI number
- 1912142324
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Kennedy, Owner/Manager(928) 635-4179
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
17 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
- 2008-12-15
- Last updated
- 2008-12-15
Frequently asked questions
- What is Ponderosa Assisted Living's NPI number?
- Ponderosa Assisted Living's National Provider Identifier (NPI) is 1912142324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponderosa Assisted Living?
- Ponderosa Assisted Living is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Ponderosa Assisted Living located?
- Ponderosa Assisted Living's practice location on file with NPPES is 826 Hereford Dr, Williams, AZ 86046-9789.
- What is Ponderosa Assisted Living's phone number?
- The practice phone number listed in the NPPES registry for Ponderosa Assisted Living is (928) 635-4179.
- Who is the authorized official for Ponderosa Assisted Living?
- The authorized official listed on Ponderosa Assisted Living's NPPES record is Lisa Kennedy, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponderosa Assisted Living's NPI active?
- Yes — Ponderosa Assisted Living's NPI (1912142324) is active in the NPPES registry as of the last update on 2008-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.