Creek View Manor in Queen Creek - Assisted Living Facility
Creek View Manor - NPI 1366639767
Creek View Manor is a Assisted Living Facility in Queen Creek, Arizona. Creek View Manor practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Creek View Manor is 1366639767. The last update date is 2007-09-28.
Creek View Manor's current location address is 19977 E Via De Arboles, Queen Creek, Arizona. You can contact this provider via phone number 4808881182 and fax number 4808881181. The mailing address for Creek View Manor is 19977 E Via De Arboles, Queen Creek, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creek View Manor |
|---|---|
| Address | 19977 E Via De Arboles, Queen Creek, Arizona |
| Phone Number | 4808881182 |
| Fax Number | 4808881181 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/MANA |
|---|---|
| Authorized Official Name | Hawksley Louise Charleen |
| Telephone Number | 4808881182 |
NPI Number Detail
| NPI Number | 1366639767 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | 19977 E Via De Arboles |
|---|---|
| City | Queen Creek |
| State | Arizona (AZ) |
| Post Code | 852425024 |
| Phone Number | 4808881182 |
| Fax Number | 4808881181 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | ALH-4954 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 923947 | AZ | ARIZONA LONG TERM CARE |
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What is the unique identifier code issued to Creek View Manor by the Centers for Medicare & Medicaid Services (CMS)?
The Creek View Manor has been assigned the NPI (National Provider Identifier) 1366639767. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Creek View Manor located?
The Creek View Manor is located at 19977 E Via De Arboles, Queen Creek, AZ 852425024.
What is Creek View Manor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Creek View Manor is Assisted Living Facility, and the taxonomy code that categorizes this field of expertise is 310400000X.
On what date did the Creek View Manor receive the assignment of its 1366639767 from the Centers for Medicare & Medicaid Services?
The Creek View Manor was issued its 1366639767 by the Centers for Medicare & Medicaid Services on 2007-09-28.
As of what date were the details pertaining to Creek View Manor last refreshed?
The information related to the Creek View Manor, including its address, specialty, and other relevant details, was last updated on 2007-09-28.
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