EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT LLC NPI 1730314626

NPI Information

NPI: 1730314626
Provider Name: EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC

Other Name: ENCORE SENIOR VILLAGE AT PARADISE VALLEY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
16621 N 38TH ST
PHOENIX, AZ
ZIP 85032
Phone: (602) 787-0800
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EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC is an assisted living facility in Phoenix, 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. EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC NPI is 1730314626. The provider is registered as an organization entity type.
The provider Other Name Is Encore Senior Village At Paradise Valley.

The provider's business location address is:

16621 N 38TH ST
PHOENIX, AZ
ZIP 85032-102
Phone: (602) 787-0800

The provider's authorized official is Peter Richardson .
The authorized official title is Controller and has the following contact phone number (503) 905-3303.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 5/20/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		ALC-6667	ARIZONA	Yes

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
1	358816	OTHER	ARIZONA	ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

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

NPI Synchronization or Removal

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