Amethyst Arbor Assisted Living & Memory Care
Assisted Living Facility in Peoria, AZ. Organization (NPI-2).
NPI number1295953875
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1295953875
- Entity type
- Organization (NPI-2)
- Legal business name
- Amethyst Arbor Assisted Living & Memory Care
- Organization subpart
- No
- Enumeration date
- Apr 22, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | AZ | Yes |
Other names
- Amethyst Arbor (Doing Business As)
Practice location
9257 W Union Hills DrPeoria, AZ 85382-8179
Phone 541-393-0900
Mailing address
3723 Fairview Industrial Dr SeSuite 270
Salem, OR 97302-1177
Phone 503-485-4600
Authorized official
Jon Harder
Manager
5034854600
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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