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 |
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Address | 1040 N Villas Ln, Chandler, Arizona |
Phone Number | 4808210203 |
Fax Number | 4808210203 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Lazorchak Alexander Steven |
Credentials | MBA |
Telephone Number | 4808551975 |
NPI Number Detail
NPI Number | 1235331216 |
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Provider Enumeration Date | 2007-06-02 |
Last Updated Date | 2008-08-11 |
Provider Mailing Address Detail
Address | 1040 N Villas Ln |
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City | Chandler |
State | Arizona (AZ) |
Post Code | 852249006 |
Phone Number | 4808210203 |
Fax Number | 4808210203 |
Provider's Primary Taxonomy Detail
Speciality | Assisted Living Facility |
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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 |
Post Comment/ Review Below
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.