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LSREF GOLDEN OPS 26 (AZ) LLC NPI 1447484217


NPI Information

NPI: 1447484217
Provider Name: LSREF GOLDEN OPS 26 (AZ), LLC

Doing Business As: GARNET AT CASA GRANDE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
510 E 8TH ST
CASA GRANDE, AZ
ZIP 85222
Phone: (520) 876-4200
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LSREF GOLDEN OPS 26 (AZ), LLC is an assisted living facility in Casa Grande, 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. LSREF GOLDEN OPS 26 (AZ), LLC NPI is 1447484217. The provider is registered as an organization entity type.
The provider Is Doing Business As Garnet At Casa Grande.

The provider's business location address is:

510 E 8TH ST
CASA GRANDE, AZ
ZIP 85222-072
Phone: (520) 876-4200

The provider's authorized official is Marc Lipshy .
The authorized official title is President and has the following contact phone number (858) 436-7662.

The enumeration date for this NPI number is 5/8/2009 and was last updated on 5/8/2009.


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-6938ARIZONAYes

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
1817067MEDICAIDARIZONA

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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