Active NPIOrganization

24TH Street Healthcare Associates LLC

Skilled Nursing Facility in Phoenix, Arizona

NPI Number1760477541
Practice location
2509 N 24TH St, Phoenix, AZ 85008-1805
Fax
602-273-6260
Last updated
February 16, 2021

24TH Street Healthcare Associates LLC is a healthcare organization based in Phoenix, AZ. The NPI number for 24TH Street Healthcare Associates LLC is 1760477541. The current practice location address is 2509 N 24TH St, Phoenix, AZ 85008-1805 and the office can be reached by phone at 602-273-1347 and by fax at 602-273-6260. The NPI was assigned on September 16, 2005 and the record was last updated in NPPES on February 16, 2021.

●Provider Profile Details

NPI Number
1760477541
Provider Name
24TH Street Healthcare Associates LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Ms. Soon Burnam · Authorized Agent · 949-540-1249
Enumeration Date
September 16, 2005
Last Update Date
February 16, 2021
Certification Date
February 16, 2021
NPI Status
Active
Other Names
Desert Terrace Healthcare Center (Doing Business As)

◉Business Practice Location Address

Address
2509 N 24TH St
Phoenix, AZ 85008-1805
State
Arizona
ZIP
85008-1805
Country
US
Phone Number
602-273-1347
Fax Number
602-273-6260

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✉Business Mailing Address

Address
2509 N 24TH St
Phoenix, AZ 85008-1805
City
Phoenix
State
AZ
ZIP
85008-1805
Phone Number
602-273-1347
Fax Number
602-273-6260

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Skilled Nursing Facility314000000XYes—AZ

#Other Provider Identifiers

No legacy or other 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 24TH Street Healthcare Associates LLC?

The NPI number of 24TH Street Healthcare Associates LLC is 1760477541. It was assigned on September 16, 2005 and is currently active in the NPPES registry.

What is the specialty of 24TH Street Healthcare Associates LLC?

24TH Street Healthcare Associates LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does 24TH Street Healthcare Associates LLC practice?

The practice location is 2509 N 24TH St, Phoenix, AZ 85008-1805. The office can be reached at 602-273-1347 (phone) or 602-273-6260 (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 1760477541 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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