MINNIE LEE'S SENIOR HOME CARE – NPI #1982464095
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Health Care Provider Taxonomy Code for Assisted Living Facility

MINNIE LEE'S SENIOR HOME CARE is an assisted living facility located in MESA, AZ. NPPES has assigned the NPI number 1982464095 to MINNIE LEE'S SENIOR HOME CARE on March 19, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MINNIE LEE'S SENIOR HOME CARE” is a dba name, the actual legal business name for this organization is 1217 KENWOOD LLC. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was last updated on Sep 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINNIE LEE'S SENIOR HOME CARE below.

NPI Profile for
1217 KENWOOD LLC

NPI Number
1982464095
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1217 KENWOOD LLC
Doing Business As (dba): MINNIE LEE'S SENIOR HOME CARE
Primary location
1217 E KENWOOD ST
MESA, AZ 85203
Phone: (480) 646-2414 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - MINNIE LEE'S SENIOR HOME CARE is subpart of another organization.
Authorized Official
LADONNA EDGINGTON
OWNER/OPERATOR
Phone: (480) 646-2414
Updated
Certification Date
Sep 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.