Arizona Eastern Star Retirement Center in Phoenix - Skilled Nursing Facility
Arizona Eastern Star Retirement Center - NPI 1205824653
Arizona Eastern Star Retirement Center is a Skilled Nursing Facility in Phoenix, Arizona. Arizona Eastern Star Retirement Center practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Arizona Eastern Star Retirement Center is 1205824653. The last update date is 2020-08-22.
Arizona Eastern Star Retirement Center's current location address is 4602 N 24th St, Phoenix, Arizona. You can contact this provider via phone number 6028338344. The mailing address for Arizona Eastern Star Retirement Center is 4602 N 24th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arizona Eastern Star Retirement Center |
|---|---|
| Address | 4602 N 24th St, Phoenix, Arizona |
| Phone Number | 6028338344 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Parham Maria |
| Telephone Number | 6029549178 |
NPI Number Detail
| NPI Number | 1205824653 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4602 N 24th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850165253 |
| Phone Number | 6028338344 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NCI-307 |
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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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What is the unique 10-digit identification code assigned to Arizona Eastern Star Retirement Center by the Centers for Medicare & Medicaid Services?
The Arizona Eastern Star Retirement Center has been issued the NPI (National Provider Identifier) 1205824653, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Arizona Eastern Star Retirement Center located?
The Arizona Eastern Star Retirement Center is located at 4602 N 24Th St, Phoenix, AZ 850165253.
What is Arizona Eastern Star Retirement Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Arizona Eastern Star Retirement Center'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 was the 1205824653 assigned to Arizona Eastern Star Retirement Center?
The Arizona Eastern Star Retirement Center was issued its 1205824653 on 2005-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Arizona Eastern Star Retirement Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Arizona Eastern Star Retirement Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.