Jasmine House

LBN: Assisted Living Concepts Inc
Jasmine House is an health care organization with primary practice located at 3076 Shoshone Drive , Lake Havasu AZ 86406. 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. Assisted Living Concepts Inc can be contacted via phone (928) 680-1701, or through Levonowich, Walter A via phone (414) 908-8800.

Contact Information

Primary practice address
3076 Shoshone Drive Lake Havasu AZ 86406
Phone: (928) 680-1701
Fax: (520) 680-1575
Website:
Map and Directions
Authorized official contact:
Name: Levonowich, Walter A
Phone: (414) 908-8800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALC 4345 Arizona

Profile Details

NPI number 1659497105
LBN Legal business name Assisted Living Concepts Inc
DBA Doing business as Jasmine House
Authorized official Levonowich, Walter A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 22nd, 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 1659497105 NPPES
Arizona MEDICAID 379463

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