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Five Star Desert Harbor Llc
Skilled Nursing Facility in Peoria, Arizona
NPI 1528023033

Five Star Desert Harbor Llc is a Skilled Nursing Facility based in Peoria, AZ. Five Star Desert Harbor Llc practices in Peoria, AZ. The NPI Number for Five Star Desert Harbor Llc is 1528023033 and holds a License No. NCI-421 (Arizona).

The current practice location address for Five Star Desert Harbor Llc is 13840 N Desert Harbor Dr, Peoria, AZ and can be reached out via phone at 623-972-0995 and via fax at 623-977-5271.

Location: 13840 N Desert Harbor Dr, Peoria, AZ, 85381-3501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528023033
Provider Name
Five Star Desert Harbor Llc
Credential
Provider Entity Type
Organization
Address
13840 N Desert Harbor Dr, Peoria, AZ, 85381-3501
Phone Number
623-972-0995
Fax Number
623-977-5271
Provider Enumeration Date
04/18/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0401890 01 AZ BLUE CROSS BLUE SHIELD OF
institution
Provider Business Practice Location Address Details
Address
13840 N Desert Harbor Dr
City
Peoria
State
Arizona
Zip
85381-3501
Phone Number
623-972-0995
Fax Number
623-977-5271
person
Provider Business Mailing Address Details
Address
13840 N Desert Harbor Dr
City
Peoria
State
Arizona
Zip
85381-3501
Phone Number
623-972-0995
Fax Number
623-977-5271
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
NCI-421 (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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