Vineyard Adult Care Home in Glendale - Adult Care Home
Vineyard Adult Care Home - NPI 1164606620
Vineyard Adult Care Home is a Adult Care Home in Glendale, Arizona. Vineyard Adult Care Home practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Vineyard Adult Care Home is 1164606620. The last update date is 2009-01-29.
Vineyard Adult Care Home's current location address is 4415 W Carol Ave, Glendale, Arizona. You can contact this provider via phone number 6238471216 and fax number 6238471216. The mailing address for Vineyard Adult Care Home is 4415 W Carol Ave, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vineyard Adult Care Home |
|---|---|
| Address | 4415 W Carol Ave, Glendale, Arizona |
| Phone Number | 6238471216 |
| Fax Number | 6238471216 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Lupas Cornelia |
| Telephone Number | 6238471216 |
NPI Number Detail
| NPI Number | 1164606620 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2009-01-29 |
Provider Mailing Address Detail
| Address | 4415 W Carol Ave |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853023814 |
| Phone Number | 6238471216 |
| Fax Number | 6238471216 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | ALH-6842 |
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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 Vineyard Adult Care Home by the Centers for Medicare & Medicaid Services?
The Vineyard Adult Care Home has been assigned the NPI (National Provider Identifier) 1164606620. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Vineyard Adult Care Home located?
The Vineyard Adult Care Home is located at 4415 W Carol Ave, Glendale, AZ 853023814.
What is Vineyard Adult Care 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 Vineyard Adult Care Home is Adult Care Home, and the taxonomy classification code that categorizes this area of expertise is 311Za0620X.
On what date did the Vineyard Adult Care Home receive its 1164606620 assignment from the Centers for Medicare & Medicaid Services?
The Vineyard Adult Care Home was assigned its 1164606620 by the Centers for Medicare & Medicaid Services on 2007-12-19.
When was the information related to Vineyard Adult Care Home most recently updated or refreshed?
The details pertaining to the Vineyard Adult Care Home, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-01-29.
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