15810 South 42ND Street Operations LLC
Skilled Nursing Facility in Phoenix, Arizona
1184105850- 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. The NPI number for 15810 South 42ND Street Operations LLC is 1184105850. The current practice location address is 15810 S 42ND St, Phoenix, AZ 85048-7409 and the office can be reached by phone at 480-759-0358. The NPI was assigned on August 22, 2018 and the record was last updated in NPPES on August 22, 2018.
●Provider Profile Details
- NPI Number
- 1184105850
- Provider Name
- 15810 South 42ND Street Operations LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Michael Berg · Assistant Secretary · 610-925-2254
- Enumeration Date
- August 22, 2018
- Last Update Date
- August 22, 2018
- NPI Status
- Active
- Other Names
- La Estancia Nursing And Rehabilitation Center (Doing Business As)
◉Business Practice Location Address
- Address
- 15810 S 42ND St
Phoenix, AZ 85048-7409 - City
- Phoenix
- State
- Arizona
- ZIP
- 85048-7409
- Country
- US
- Phone Number
- 480-759-0358
✉Business Mailing Address
- Address
- 101 E State St
Kennett Square, PA 19348-3109 - City
- Kennett Square
- State
- PA
- ZIP
- 19348-3109
- Phone Number
- 610-925-2254
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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 at npiregistry.cms.hhs.gov.