Ilhc Of Phoenix, Llc in Chaska - Assisted Living Facility
Ilhc Of Phoenix, Llc - NPI 1902983265
Ilhc Of Phoenix, Llc is a Assisted Living Facility in Chaska, Minnesota. Ilhc Of Phoenix, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Ilhc Of Phoenix, Llc is 1902983265. The last update date is 2014-12-08.
Ilhc Of Phoenix, Llc's current location address is 1107 Hazeltine Blvd, Chaska, Minnesota. You can contact this provider via phone number 9523618000. The mailing address for Ilhc Of Phoenix, Llc is 1107 Hazeltine Blvd, Chaska, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ilhc Of Phoenix, Llc |
|---|---|
| Address | 1107 Hazeltine Blvd, Chaska, Minnesota |
| Phone Number | 9523618000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Burton R. Elaine |
| Telephone Number | 9523618000 |
NPI Number Detail
| NPI Number | 1902983265 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2014-12-08 |
Provider Mailing Address Detail
| Address | 1107 Hazeltine Blvd |
|---|---|
| City | Chaska |
| State | Minnesota (MN) |
| Post Code | 553181009 |
| Phone Number | 9523618000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | ALC-5695 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0914230 | BCBS OF ARIZONA |
Post Comment/ Review Below
What is the Ilhc Of Phoenix, Llc's unique identification number?
The Ilhc Of Phoenix, Llc has been assigned the NPI (National Provider Identifier) Number 1902983265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Ilhc Of Phoenix, Llc?
The Ilhc Of Phoenix, Llc is physically situated at 1107 Hazeltine Blvd, in the city of Chaska, state of MN, with the postal code 553181009.
What is Ilhc Of Phoenix, Llc's area of expertise and its corresponding taxonomy classification?
The Ilhc Of Phoenix, Llc's field of specialization is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902983265 to Ilhc Of Phoenix, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1902983265 to Ilhc Of Phoenix, Llc on 2006-11-01.
As of what date were the details related to Ilhc Of Phoenix, Llc most recently updated or revised?
The information pertaining to Ilhc Of Phoenix, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-08.