MEDICARE: ANCHORED LIVING GLOBAL, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1760368898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHORED LIVING GLOBAL, LLC

Provider Business Mailing Address
First Line	:	PO BOX 327
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-0327
Country	:	US
Telephone Number	:	602-448-5021
Fax Number	:

Provider Business Practice Location Address
First Line	:	6809 S 39TH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-6029
Country	:	US
Telephone Number	:	602-448-5021
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	LETICIA A CHEATHAM
Credential	:
Telephone Number	:	602-448-5021

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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