19TH Avenue Operations, LLC
Skilled Nursing Facility in Phoenix, Arizona
1649627423- Practice location
- 6246 N 19TH Ave, Phoenix, AZ 85015-1511
- Phone
- 602-433-6300
- Fax
- 602-433-6458
- Last updated
- January 4, 2017
19TH Avenue Operations, LLC is a healthcare organization based in Phoenix, AZ. The NPI number for 19TH Avenue Operations, LLC is 1649627423 and holds license No. AL10014C (AZ). The current practice location address is 6246 N 19TH Ave, Phoenix, AZ 85015-1511 and the office can be reached by phone at 602-433-6300 and by fax at 602-433-6458. The NPI was assigned on May 20, 2016 and the record was last updated in NPPES on January 4, 2017.
●Provider Profile Details
- NPI Number
- 1649627423
- Provider Name
- 19TH Avenue Operations, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Tracy L. Clark · Authorized Representative · 310-337-1929
- Enumeration Date
- May 20, 2016
- Last Update Date
- January 4, 2017
- NPI Status
- Active
- Other Names
- The Palazzo (Doing Business As)
◉Business Practice Location Address
- Address
- 6246 N 19TH Ave
Phoenix, AZ 85015-1511 - City
- Phoenix
- State
- Arizona
- ZIP
- 85015-1511
- Country
- US
- Phone Number
- 602-433-6300
- Fax Number
- 602-433-6458
✉Business Mailing Address
- Address
- 1000 Corporate Pointe
Suite 100
Culver City, CA 90230-7690 - City
- Culver City
- State
- CA
- ZIP
- 90230-7690
- Phone Number
- 310-337-1929
- Fax Number
- 310-861-1661
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | No | AL10014C | AZ |
| Assisted Living Facility | 310400000X | No | AL10013C | AZ |
| Skilled Nursing Facility | 314000000X | Yes | NCI-2694 | AZ |
#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 19TH Avenue Operations, LLC?
The NPI number of 19TH Avenue Operations, LLC is 1649627423. It was assigned on May 20, 2016 and is currently active in the NPPES registry.
What is the specialty of 19TH Avenue Operations, LLC?
19TH Avenue Operations, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X) and holds license No. AL10014C (AZ).
Where does 19TH Avenue Operations, LLC practice?
The practice location is 6246 N 19TH Ave, Phoenix, AZ 85015-1511. The office can be reached at 602-433-6300 (phone) or 602-433-6458 (fax).
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 1649627423 directly on the NPPES registry website at npiregistry.cms.hhs.gov.