Agua Fria Senior Living, Llc

LBN: Agua Fria Senior Living, Llc
Agua Fria Senior Living, Llc is an health care organization with primary practice located at 8880 N 107Th Ave , Peoria AZ 85345-2908. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Agua Fria Senior Living, Llc can be contacted via phone (623) 266-0999, or through Hamilton, Douglas via phone (480) 368-5755.

Contact Information

Primary practice address
8880 N 107Th Ave Peoria AZ 85345-2908
Phone: (623) 266-0999
Fax: (623) 215-7703
Website:
Map and Directions
Authorized official contact:
Name: Hamilton, Douglas
Phone: (480) 368-5755

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1912536368
LBN Legal business name Agua Fria Senior Living, Llc
DBA Doing business as
Authorized official Hamilton, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2020
Last updated Apr 7th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912536368 NPPES
Arizona MEDICAID 527346
Arizona Other AL10709C

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