Healthcare Provider Details

I. General information

NPI: 1609721018
Provider Name (Legal Business Name): ALPINE WOODS ASSISTED HOME LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 E INVERNESS AVE APT 2008
MESA AZ
85204
US

IV. Provider business mailing address

1820 E RAY RD # 2036
CHANDLER AZ
85225-8720
US

V. Phone/Fax

Practice location:
  • Phone: 480-744-2513
  • Fax: 480-781-4918
Mailing address:
  • Phone: 480-744-2513
  • Fax: 480-781-4918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ERIKA JONES
Title or Position: CEO
Credential:
Phone: 480-744-2513