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SHEA MANOR ASSISTED LIVING HOME LLC NPI 1902381387


NPI Information

NPI: 1902381387
Provider Name: SHEA MANOR ASSISTED LIVING HOME, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
10433 N 43RD ST
PHOENIX, AZ
ZIP 85028
Phone: (773) 818-4093
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SHEA MANOR ASSISTED LIVING HOME, 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. SHEA MANOR ASSISTED LIVING HOME, LLC NPI is 1902381387. The provider is registered as an organization entity type.

The provider's business location address is:

10433 N 43RD ST
PHOENIX, AZ
ZIP 85028-110
Phone: (773) 818-4093
Fax: (480) 603-1815

The provider's authorized official is Calina Ardelean .
The authorized official title is Manager and has the following contact phone number (773) 818-4093.

The enumeration date for this NPI number is 10/1/2018 and was last updated on 10/1/2018.


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 FacilityYes

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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