- Practice location
- 15810 S 42ND St, Phoenix, AZ 85048-7409
- Phone
- 480-759-0358
- Fax
- —
- Last updated
- August 22, 2018
15810 South 42ND Street Operations LLC is a healthcare organization based in Phoenix, AZ. 15810 South 42ND Street Operations LLC practices in Phoenix, AZ. The NPI Number for 15810 South 42ND Street Operations LLC is 1184105850. The current practice location address for 15810 South 42ND Street Operations LLC is 15810 S 42ND St, Phoenix, AZ 85048-7409 and can be reached out via phone at 480-759-0358.
Provider Profile Details
- NPI Number
- 1184105850
- Provider Name
- 15810 South 42ND Street Operations LLC
- Provider Entity Type
- Organization
- Address
- 15810 S 42ND St, Phoenix, AZ 85048-7409
- Phone Number
- 480-759-0358
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Michael Berg · Assistant Secretary · 610-925-2254
- Other Names
- La Estancia Nursing And Rehabilitation Center (Doing Business As)
- Provider Enumeration Date
- August 22, 2018
- Last Update Date
- August 22, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15810 S 42ND St
Phoenix, AZ 85048-7409 - City
- Phoenix
- State
- Arizona
- Zip
- 85048-7409
- Phone Number
- 480-759-0358
Provider Business Mailing Address Details
- Address
- 101 E State St
Kennett Square, PA 19348-3109 - City
- Kennett Square
- State
- PA
- Zip
- 19348-3109
- Phone Number
- 610-925-2254
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 15810 South 42ND Street Operations LLC?
The NPI number of 15810 South 42ND Street Operations LLC is 1184105850. It was assigned on August 22, 2018 and is currently active in the NPPES registry.
What is the specialty of 15810 South 42ND Street Operations LLC?
15810 South 42ND Street Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 15810 South 42ND Street Operations LLC practice?
The practice location is 15810 S 42ND St, Phoenix, AZ 85048-7409. The office can be reached at 480-759-0358 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184105850 directly on the NPPES registry website.