Healthcare Provider Details

I. General information

NPI: 1760386585
Provider Name (Legal Business Name): ANCHOR ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 E GREENWAY CIR
MESA AZ
85203-4426
US

IV. Provider business mailing address

1156 S VINE ST
CHANDLER AZ
85286-6490
US

V. Phone/Fax

Practice location:
  • Phone: 480-500-1786
  • Fax:
Mailing address:
  • Phone: 480-500-1786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RAJDEEP BHANVER
Title or Position: MANAGING MEMBER
Credential: CEO
Phone: 480-500-1786