Organization
PINETOP SENIOR LIVING LLC
Active
Organization
PINETOP SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KENNEDY (MANAGER)
(928) 532-4600
Entity
Organization
Contact information
Practice address
5408 HIGHWAY 260 BLDG 15408, LAKESIDE, AZ 85929-5791
(928) 532-4600
Mailing address
5408 HIGHWAY 260 BLDG 15408, LAKESIDE, AZ 85929-5791
(928) 532-4600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up