The Palazzo

LBN: 19Th Avenue Operations, Llc
The Palazzo is an health care organization with primary practice located at 6246 N 19Th Ave , Phoenix AZ 85015-1511. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. 19Th Avenue Operations, Llc can be contacted via phone (602) 433-6300, or through Clark, Tracy L. via phone (310) 337-1929.

Contact Information

Primary practice address
6246 N 19Th Ave Phoenix AZ 85015-1511
Phone: (602) 433-6300
Fax: (602) 433-6458
Website:
Map and Directions
Authorized official contact:
Name: Clark, Tracy L.
Phone: (310) 337-1929

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL10014C Arizona
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL10013C Arizona
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI-2694 Arizona

Profile Details

NPI number 1649627423
LBN Legal business name 19Th Avenue Operations, Llc
DBA Doing business as The Palazzo
Authorized official Clark, Tracy L.
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2016
Last updated Jan 4th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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