Kingman No 1 Llc in Kingman - Skilled Nursing Facility

Kingman No 1 Llc - NPI 1184656175

Kingman No 1 Llc is a Skilled Nursing Facility in Kingman, Arizona. Kingman No 1 Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Kingman No 1 Llc is 1184656175. The last update date is 2017-01-03.

Kingman No 1 Llc's current location address is 1081 Kathleen Ave, Kingman, Arizona. You can contact this provider via phone number 9287535580. The mailing address for Kingman No 1 Llc is 1081 Kathleen Ave, Kingman, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kingman No 1 Llc
Address 1081 Kathleen Ave, Kingman, Arizona
Phone Number 9287535580
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Shirrell Cliff
Telephone Number 5734711276

NPI Number Detail

NPI Number 1184656175
Provider Enumeration Date 2006-07-07
Last Updated Date 2017-01-03

Provider Mailing Address Detail

Address 1081 Kathleen Ave
City Kingman
State Arizona (AZ)
Post Code 864013918
Phone Number 9287535580
Fax Number

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No NCI306
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
633182 AZ --

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FAQs about Kingman No 1 Llc

What is the unique 10-digit identifier code assigned to Kingman No 1 Llc by the Centers for Medicare & Medicaid Services?

The Kingman No 1 Llc has been issued the NPI (National Provider Identifier) 1184656175 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kingman No 1 Llc's facilities are situated?

The facilities of Kingman No 1 Llc are physically located at the following address: 1081 Kathleen Ave, Kingman, AZ, 864013918.

What is Kingman No 1 Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kingman No 1 Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.

On what date did the Kingman No 1 Llc receive the assignment of its 1184656175 from the Centers for Medicare & Medicaid Services?

The Kingman No 1 Llc was issued its 1184656175 by the Centers for Medicare & Medicaid Services on 2006-07-07.

As of what date was the information regarding Kingman No 1 Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kingman No 1 Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-01-03.

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