Lifestream Complete Senior Living At Thunderbird Inc in Glendale - Assisted Living Facility

Lifestream Complete Senior Living At Thunderbird Inc - NPI 1881674414

Lifestream Complete Senior Living At Thunderbird Inc is a Assisted Living Facility in Glendale, Arizona. Lifestream Complete Senior Living At Thunderbird Inc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Lifestream Complete Senior Living At Thunderbird Inc is 1881674414. The last update date is 2012-06-29.

Lifestream Complete Senior Living At Thunderbird Inc's current location address is 13617 N 55th Ave, Glendale, Arizona. You can contact this provider via phone number 6029385500 and fax number 6028439530. The mailing address for Lifestream Complete Senior Living At Thunderbird Inc is 13617 N 55th Ave, Glendale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lifestream Complete Senior Living At Thunderbird Inc
Address 13617 N 55th Ave, Glendale, Arizona
Phone Number 6029385500
Fax Number 6028439530
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Kemp Rod
Telephone Number 6239333333

NPI Number Detail

NPI Number 1881674414
Provider Enumeration Date 2006-01-19
Last Updated Date 2012-06-29

Provider Mailing Address Detail

Address 13617 N 55th Ave
City Glendale
State Arizona (AZ)
Post Code 853044701
Phone Number 6029385500
Fax Number 6028439530

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No ALC-4809
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
EVC00600003119 AZ --
622854 AZ --
E2103020 AZ --

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FAQs about Lifestream Complete Senior Living At Thunderbird Inc

What is the unique provider identifier assigned to Lifestream Complete Senior Living At Thunderbird Inc?

The Lifestream Complete Senior Living At Thunderbird Inc has been issued the NPI (National Provider Identifier) 1881674414 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Lifestream Complete Senior Living At Thunderbird Inc is physically located?

The Lifestream Complete Senior Living At Thunderbird Inc is situated at the following address: 13617 N 55Th Ave, Glendale, AZ 853044701.

What is the area of specialization for Lifestream Complete Senior Living At Thunderbird Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lifestream Complete Senior Living At Thunderbird Inc is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of expertise is 310400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881674414 to Lifestream Complete Senior Living At Thunderbird Inc?

The Centers for Medicare & Medicaid Services originally issued the 1881674414 to Lifestream Complete Senior Living At Thunderbird Inc on 2006-01-19.

When was the information regarding Lifestream Complete Senior Living At Thunderbird Inc most recently updated?

The details pertaining to the Lifestream Complete Senior Living At Thunderbird Inc, including its address, specialty, and other relevant information, were last refreshed on 2012-06-29.

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