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Lifestream Complete Senior Living Inc.
Skilled Nursing Facility in Youngtown, Arizona
NPI 1447256466

Lifestream Complete Senior Living Inc. is a Skilled Nursing Facility based in Youngtown, AZ. Lifestream Complete Senior Living Inc. practices in Youngtown, AZ. The NPI Number for Lifestream Complete Senior Living Inc. is 1447256466 and holds a License No. NCI-382 (Arizona).

The current practice location address for Lifestream Complete Senior Living Inc. is 11527 W Peoria Ave, Youngtown, AZ and can be reached out via phone at 623-933-4683 and via fax at 623-972-4993.

Location: 11527 W Peoria Ave, Youngtown, AZ, 85363-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447256466
Provider Name
Lifestream Complete Senior Living Inc.
Credential
Provider Entity Type
Organization
Address
11527 W Peoria Ave, Youngtown, AZ, 85363-1640
Phone Number
623-933-4683
Fax Number
623-972-4993
Provider Enumeration Date
06/23/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
010581 01 AZ ADVANTAGE BY BRIDGEWAY HEALTH SOLUTIONS
0073850 01 AZ BLUE CROSS BLUE SHIELD
040311 05 AZ
0071-0000168 01 AZ UNITEDHEALTHCARE NURSING HOME PLAN
1025871 01 AZ MERCY CARE ADVANTAGE
institution
Provider Business Practice Location Address Details
Address
11527 W Peoria Ave
City
Youngtown
State
Arizona
Zip
85363-1640
Phone Number
623-933-4683
Fax Number
623-972-4993
person
Provider Business Mailing Address Details
Address
11527 W Peoria Ave
City
Youngtown
State
Arizona
Zip
85363-1640
Phone Number
623-933-4683
Fax Number
623-972-4993
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
NCI-382 (Arizona)
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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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