Cvcc, Llc in Mesa - Skilled Nursing Facility

Cvcc, Llc - NPI 1083613608

Cvcc, Llc is a Skilled Nursing Facility in Mesa, Arizona. Cvcc, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Cvcc, Llc is 1083613608. The last update date is 2009-06-25.

Cvcc, Llc's current location address is 60 S 58th St, Mesa, Arizona. You can contact this provider via phone number 4808323903 and fax number 4809810963. The mailing address for Cvcc, Llc is 60 S 58th St, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cvcc, Llc
Address 60 S 58th St, Mesa, Arizona
Phone Number 4808323903
Fax Number 4809810963
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Harwood D Deborah
Telephone Number 4808323903

NPI Number Detail

NPI Number 1083613608
Provider Enumeration Date 2005-07-15
Last Updated Date 2009-06-25

Provider Mailing Address Detail

Address 60 S 58th St
City Mesa
State Arizona (AZ)
Post Code 852061507
Phone Number 4808323903
Fax Number 4809810963

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No NCI-2632
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
795148 AZ --
71-00102 AZ EVERCARE CHOICE
AZ0402490 AZ BLUE CROSS/BLUE SHIELD

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FAQs about Cvcc, Llc

What is the unique 10-digit identifier code issued to Cvcc, Llc by the Centers for Medicare & Medicaid Services?

The Cvcc, Llc has been assigned the NPI (National Provider Identifier) 1083613608 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Cvcc, Llc is physically located?

The Cvcc, Llc is physically situated at the following address: 60 S 58Th St, Mesa, AZ, 852061507.

What is Cvcc, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Cvcc, Llc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.

When was the Cvcc, Llc's 1083613608 issued?

The Cvcc, Llc's 1083613608 was issued on 2005-07-15.

As of what date were the details pertaining to Cvcc, Llc last refreshed?

The information related to the Cvcc, Llc, including its address, specialty, and other relevant details, was last updated on 2009-06-25.

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