Desert Lake Assisted Living Home in Chandler - Assisted Living Facility

Desert Lake Assisted Living Home - NPI 1235331216

Desert Lake Assisted Living Home is a Assisted Living Facility in Chandler, Arizona. Desert Lake Assisted Living Home practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Desert Lake Assisted Living Home is 1235331216. The last update date is 2008-08-11.

Desert Lake Assisted Living Home's current location address is 1040 N Villas Ln, Chandler, Arizona. You can contact this provider via phone number 4808210203 and fax number 4808210203. The mailing address for Desert Lake Assisted Living Home is 1040 N Villas Ln, Chandler, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Desert Lake Assisted Living Home
Address 1040 N Villas Ln, Chandler, Arizona
Phone Number 4808210203
Fax Number 4808210203
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Lazorchak Alexander Steven
Credentials MBA
Telephone Number 4808551975

NPI Number Detail

NPI Number 1235331216
Provider Enumeration Date 2007-06-02
Last Updated Date 2008-08-11

Provider Mailing Address Detail

Address 1040 N Villas Ln
City Chandler
State Arizona (AZ)
Post Code 852249006
Phone Number 4808210203
Fax Number 4808210203

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No ALH5646
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
ALH5646 AZ FACILITY LICENSE
A195847 AZ ALTCS PROVER NUMBER

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FAQs about Desert Lake Assisted Living Home

What is the unique 10-digit identification code issued to Desert Lake Assisted Living Home by the Centers for Medicare & Medicaid Services?

The Desert Lake Assisted Living Home has been assigned the NPI (National Provider Identifier) 1235331216 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Desert Lake Assisted Living Home is located?

The Desert Lake Assisted Living Home is situated at the following address: 1040 N Villas Ln, Chandler, AZ, 852249006.

What is Desert Lake Assisted Living Home's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Desert Lake Assisted Living Home is Assisted Living Facility, and the taxonomy classification code that categorizes this area of expertise is 310400000X.

On what date did the Desert Lake Assisted Living Home receive the assignment of its 1235331216 from the Centers for Medicare & Medicaid Services?

The Desert Lake Assisted Living Home was issued its 1235331216 by the Centers for Medicare & Medicaid Services on 2007-06-02.

As of what date was the information pertaining to Desert Lake Assisted Living Home, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Desert Lake Assisted Living Home, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-11.

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