Healthcare Provider Details

I. General information

NPI: 1982543864
Provider Name (Legal Business Name): BEN KAYAT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4512 E ROBIN LN
PHOENIX AZ
85050-6819
US

IV. Provider business mailing address

4512 E ROBIN LN
PHOENIX AZ
85050-6819
US

V. Phone/Fax

Practice location:
  • Phone: 602-252-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL12025H
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: