MEDICARE: ALPINE WOODS ASSISTED HOME LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1609721018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPINE WOODS ASSISTED HOME LIVING

Provider Business Mailing Address
First Line	:	1820 E RAY RD # 2036
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-8720
Country	:	US
Telephone Number	:	480-744-2513
Fax Number	:	480-781-4918

Provider Business Practice Location Address
First Line	:	2020 E INVERNESS AVE
Second Line	:	APT 2008
City	:	MESA
State	:	AZ
Zip	:	85204
Country	:	US
Telephone Number	:	480-744-2513
Fax Number	:	480-781-4918

Authorized Official
Title or Position	:	CEO
Name	:	ERIKA JONES
Credential	:
Telephone Number	:	480-744-2513

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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