The Harbor Lighthouse in Glendale - Adult Care Home
The Harbor Lighthouse - NPI 1306833355
The Harbor Lighthouse is a Adult Care Home in Glendale, Arizona. The Harbor Lighthouse practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for The Harbor Lighthouse is 1306833355. The last update date is 2020-08-22.
The Harbor Lighthouse's current location address is 5940 W Pershing Ave, Glendale, Arizona. You can contact this provider via phone number 6237739464. The mailing address for The Harbor Lighthouse is 5940 W Pershing Ave, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Harbor Lighthouse |
|---|---|
| Address | 5940 W Pershing Ave, Glendale, Arizona |
| Phone Number | 6237739464 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Negrea Lucian Nicolae |
| Telephone Number | 6237739464 |
NPI Number Detail
| NPI Number | 1306833355 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5940 W Pershing Ave |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853041123 |
| Phone Number | 6237739464 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | ALH-4783 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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What is the unique identifier code issued to The Harbor Lighthouse by the Centers for Medicare & Medicaid Services?
The The Harbor Lighthouse has been assigned the NPI (National Provider Identifier) 1306833355. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where The Harbor Lighthouse's facilities are situated?
The facilities of The Harbor Lighthouse are physically located at the following address: 5940 W Pershing Ave, Glendale, AZ, 853041123.
What is The Harbor Lighthouse's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for The Harbor Lighthouse is Adult Care Home, and the corresponding taxonomy classification code for this specialized field is 311Za0620X.
When did The Harbor Lighthouse receive its 1306833355 assignment?
The The Harbor Lighthouse was assigned its 1306833355 on 2005-10-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to The Harbor Lighthouse most recently updated or revised?
The information pertaining to The Harbor Lighthouse, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.