Five Star Desert Harbor Llc in Peoria - Skilled Nursing Facility
Five Star Desert Harbor Llc - NPI 1528023033
Five Star Desert Harbor Llc is a Skilled Nursing Facility in Peoria, Arizona. Five Star Desert Harbor Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Five Star Desert Harbor Llc is 1528023033. The last update date is 2019-03-28.
Five Star Desert Harbor Llc's current location address is 13840 N Desert Harbor Dr, Peoria, Arizona. You can contact this provider via phone number 6239720995 and fax number 6239775271. The mailing address for Five Star Desert Harbor Llc is 13840 N Desert Harbor Dr, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Five Star Desert Harbor Llc |
|---|---|
| Address | 13840 N Desert Harbor Dr, Peoria, Arizona |
| Phone Number | 6239720995 |
| Fax Number | 6239775271 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Potter E Katherine |
| Telephone Number | 6177968387 |
NPI Number Detail
| NPI Number | 1528023033 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2019-03-28 |
Provider Mailing Address Detail
| Address | 13840 N Desert Harbor Dr |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853813501 |
| Phone Number | 6239720995 |
| Fax Number | 6239775271 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NCI-421 |
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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 |
|---|---|---|---|
| AZ0401890 | AZ | BLUE CROSS BLUE SHIELD OF |
Post Comment/ Review Below
What is the unique identifier code issued to Five Star Desert Harbor Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Five Star Desert Harbor Llc has been assigned the NPI (National Provider Identifier) 1528023033. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Five Star Desert Harbor Llc is physically located?
The Five Star Desert Harbor Llc is situated at the following address: 13840 N Desert Harbor Dr, Peoria, AZ 853813501.
What is Five Star Desert Harbor Llc'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 Five Star Desert Harbor Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
When did the Five Star Desert Harbor Llc receive its 1528023033?
The Five Star Desert Harbor Llc was issued its 1528023033 on 2006-04-18, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Five Star Desert Harbor Llc most recently updated or revised?
The details related to Five Star Desert Harbor Llc, including its address, specialty, and other relevant information, were last updated or revised on 2019-03-28.