Phoenix Healthcare Llc in Phoenix - Skilled Nursing Facility
Phoenix Healthcare Llc - NPI 1275712002
Phoenix Healthcare Llc is a Skilled Nursing Facility in Phoenix, Arizona. Phoenix Healthcare Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Phoenix Healthcare Llc is 1275712002. The last update date is 2008-04-17.
Phoenix Healthcare Llc's current location address is 4202 N 20th Ave, Phoenix, Arizona. You can contact this provider via phone number 6022643824 and fax number 6022796234. The mailing address for Phoenix Healthcare Llc is 4202 N 20th Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Healthcare Llc |
|---|---|
| Address | 4202 N 20th Ave, Phoenix, Arizona |
| Phone Number | 6022643824 |
| Fax Number | 6022796234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF FINA |
|---|---|
| Authorized Official Name | Clark Danks Marie Alice |
| Credentials | CPA |
| Telephone Number | 4233081845 |
NPI Number Detail
| NPI Number | 1275712002 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 4202 N 20th Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850155101 |
| Phone Number | 6022643824 |
| Fax Number | 6022796234 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NCI-2667 |
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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 Phoenix Healthcare Llc's unique identification number?
The Phoenix Healthcare Llc has been assigned the NPI (National Provider Identifier) Number 1275712002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Phoenix Healthcare Llc's physical address?
The Phoenix Healthcare Llc is physically located at 4202 N 20Th Ave, in the city of Phoenix, AZ, with the postal code 850155101.
What is the area of specialization for Phoenix Healthcare Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phoenix Healthcare Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Phoenix Healthcare Llc receive the assignment of its 1275712002 from the Centers for Medicare & Medicaid Services?
The Phoenix Healthcare Llc was issued its 1275712002 by the Centers for Medicare & Medicaid Services on 2007-10-29.
When was the information pertaining to Phoenix Healthcare Llc most recently updated or revised?
The details related to Phoenix Healthcare Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-17.