Healthcare Provider Details

I. General information

NPI: 1932023256
Provider Name (Legal Business Name): BEVERLY SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMES C SCOTT SR.

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1734 E SAN XAVIER DR
CASA GRANDE AZ
85122-6322
US

IV. Provider business mailing address

5536 S 26TH LN
PHOENIX AZ
85041-4506
US

V. Phone/Fax

Practice location:
  • Phone: 480-382-5720
  • Fax:
Mailing address:
  • Phone: 480-382-5720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: