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EMERITUS PROPERTIES NGH LLC NPI 1326260829


NPI Information

NPI: 1326260829
Provider Name: EMERITUS PROPERTIES NGH, LLC

Doing Business As: BROOKDALE CENTRAL CHANDLER

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 03D2138955

Address:
1919 WEST CARLA VISTA DRIVE
CHANDLER, AZ
ZIP 85224
Phone: (480) 855-6500
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EMERITUS PROPERTIES NGH, LLC is an assisted living facility in Chandler, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EMERITUS PROPERTIES NGH, LLC NPI is 1326260829. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Central Chandler.

The provider's business location address is:

1919 WEST CARLA VISTA DRIVE
CHANDLER, AZ
ZIP 85224
Phone: (480) 855-6500
Fax: (480) 726-3690

The provider's authorized official is Joanne K Leskowicz .
The authorized official title is Senior Vice President and has the following contact phone number (414) 918-5000.

The CLIA number assigned to this NPI record is 03D2138955 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/18/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALC-4037ARIZONANo
2311500000XAlzheimer Center (Dementia Center)ALC-4037ARIZONANo
3310400000XAssisted Living FacilityAL3331CARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1700104MEDICAIDARIZONA
2856023MEDICAIDARIZONA

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: 4/28/2024

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