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HOLBROOK SENIOR CITIZENS ASSOCIATION NPI 1730224379


NPI Information

NPI: 1730224379
Provider Name: HOLBROOK SENIOR CITIZENS ASSOCIATION

Other Name: HOLBROOK SENIOR CENTER

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
216 JOY NEVIN AVE
HOLBROOK, AZ
ZIP 86025
Phone: (928) 524-6044
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HOLBROOK SENIOR CITIZENS ASSOCIATION is a program of all inclusive care for the elderly pace provider organization in Holbrook, AZ. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. HOLBROOK SENIOR CITIZENS ASSOCIATION NPI is 1730224379. The provider is registered as an organization entity type.
The provider Other Name Is Holbrook Senior Center.

The provider's business location address is:

216 JOY NEVIN AVE
HOLBROOK, AZ
ZIP 86025-924
Phone: (928) 524-6044
Fax: (928) 524-3603

The provider's authorized official is Carla Ann Gabaldon .
The authorized official title is Director and has the following contact phone number (928) 524-6044.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/22/2020.


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
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationARIZONAYes

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
1111261OTHERARIZONAAHCCCS

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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