HERITAGE AT CAREFREE NPI 1164677571

NPI Information

  • NPI: 1164677571
  • Provider Name: HERITAGE AT CAREFREE
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Other Name: HERITAGE HEALTHCARE
  • CLIA Number: 03D2207408
  • Address: 36590 N. PIMA ROAD
    CAREFREE, AZ
    ZIP 85377
  • Phone: (480) 488-1622

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NPI Details

HERITAGE AT CAREFREE is a nursing facility intermediate care facility in Carefree, AZ. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. HERITAGE AT CAREFREE NPI is 1164677571. The provider is registered as an organization entity type.
The provider Other Name Is Heritage Healthcare.

The provider's business location address is:

36590 N. PIMA ROAD
CAREFREE, AZ
ZIP 85377-481
Phone: (480) 488-1622

The provider's authorized official is Donna Daniela Holbura .
The authorized official title is Executive Director and has the following contact phone number (480) 488-1622.

The CLIA number assigned to this NPI record is 03D2207408 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2008 and was last updated on 11/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care FacilityALC-5482ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1251831MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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