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SKYLARK ACH LLC NPI 1952781247


NPI Information

NPI: 1952781247
Provider Name: SKYLARK ACH LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
12034 N 46TH LN
GLENDALE, AZ
ZIP 85304
Phone: (623) 776-1477
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SKYLARK ACH LLC is an assisted living facility in Glendale, 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. SKYLARK ACH LLC NPI is 1952781247. The provider is registered as an organization entity type.

The provider's business location address is:

12034 N 46TH LN
GLENDALE, AZ
ZIP 85304-012
Phone: (623) 776-1477

The provider's authorized official is Paul V Petrini .
The authorized official title is Owner and has the following contact phone number (602) 486-3001.

The enumeration date for this NPI number is 6/2/2015 and was last updated on 6/2/2015.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
23104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
3310400000XAssisted 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.