# ASSISTED LIVING AT BLOOMFIELD MANOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821117326
- **Authorized official:** MISS BETH GLOVER (ADMINISTRATIVE MANAGER)
- **Authorized official phone:** (602) 441-2563

## Contact information

- **Practice address:** 5815 E AIRE LIBRE AVE, SCOTTSDALE, AZ 85254-9221
- **Practice address phone:** (602) 441-2563
- **Practice address fax:** (602) 354-7129
- **Mailing address:** 6501 E GREENWAY PKWY, SUITE 103-505, SCOTTSDALE, AZ 85254-2065
- **Mailing address phone:** (602) 441-2563
- **Mailing address fax:** (602) 354-7129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALH-4868 | AZ | — |
| 311500000X | Alzheimer Center (Dementia Center) | ALH-4868 | AZ | — |
| 311Z00000X | Custodial Care Facility | ALH-4868 | AZ | — |
| 311ZA0620X | Adult Care Home Facility | ALH-4868 | AZ | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 09/11/2025