Healthcare Provider Details
I. General information
NPI: 1598693244
Provider Name (Legal Business Name): CHI LIVING COMMUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2345 W ORANGEWOOD AVE
PHOENIX AZ
85021-7659
US
IV. Provider business mailing address
930 S WYNN RD
OREGON OH
43616-3530
US
V. Phone/Fax
- Phone: 602-405-5600
- Fax:
- Phone: 567-455-0414
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311500000X |
| Taxonomy | Alzheimer Center (Dementia Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALISA
IFFLAND
Title or Position: VP OF FINANCE
Credential:
Phone: 567-455-0414