Lifestream Complete Senior Living Inc. in Youngtown - Skilled Nursing Facility
Lifestream Complete Senior Living Inc. - NPI 1447256466
Lifestream Complete Senior Living Inc. is a Skilled Nursing Facility in Youngtown, Arizona. Lifestream Complete Senior Living Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Lifestream Complete Senior Living Inc. is 1447256466. The last update date is 2013-05-21.
Lifestream Complete Senior Living Inc.'s current location address is 11527 W Peoria Ave, Youngtown, Arizona. You can contact this provider via phone number 6239334683 and fax number 6239724993. The mailing address for Lifestream Complete Senior Living Inc. is 11527 W Peoria Ave, Youngtown, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifestream Complete Senior Living Inc. |
|---|---|
| Address | 11527 W Peoria Ave, Youngtown, Arizona |
| Phone Number | 6239334683 |
| Fax Number | 6239724993 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Estes Ronald |
| Telephone Number | 6239333333 |
NPI Number Detail
| NPI Number | 1447256466 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2013-05-21 |
Provider Mailing Address Detail
| Address | 11527 W Peoria Ave |
|---|---|
| City | Youngtown |
| State | Arizona (AZ) |
| Post Code | 853631640 |
| Phone Number | 6239334683 |
| Fax Number | 6239724993 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NCI-382 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10581 | AZ | ADVANTAGE BY BRIDGEWAY HEALTH | |
| 73850 | AZ | BLUE CROSS BLUE SHIELD | |
| 40311 | AZ | -- | |
| 0071-0000168 | AZ | UNITEDHEALTHCARE NURSING HOME | |
| 1025871 | AZ | MERCY CARE ADVANTAGE |
Post Comment/ Review Below
What is the unique identification code assigned to Lifestream Complete Senior Living Inc. by the Centers for Medicare & Medicaid Services?
The Lifestream Complete Senior Living Inc. has been issued the NPI (National Provider Identifier) 1447256466. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lifestream Complete Senior Living Inc.'s facilities are situated?
The facilities of Lifestream Complete Senior Living Inc. are physically located at the following address: 11527 W Peoria Ave, Youngtown, AZ, 853631640.
What is Lifestream Complete Senior Living Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lifestream Complete Senior Living Inc.'s specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447256466 to Lifestream Complete Senior Living Inc.?
The Lifestream Complete Senior Living Inc. received its 1447256466 assignment from the Centers for Medicare & Medicaid Services on 2005-06-23.
When was the information regarding Lifestream Complete Senior Living Inc. most recently updated?
The details pertaining to the Lifestream Complete Senior Living Inc., including its address, specialty, and other relevant information, were last refreshed on 2013-05-21.
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