Avista Senior Living North Mountain

LBN: Avista Senior Living Desert Springs, Llc
Avista Senior Living North Mountain is an health care organization with primary practice located at 350 E Eva St , Phoenix AZ 85020-2564. 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. Avista Senior Living Desert Springs, Llc can be contacted via phone (602) 997-6224, or through Fine, Candice via phone (480) 244-9173.

Contact Information

Primary practice address
350 E Eva St Phoenix AZ 85020-2564
Phone: (602) 997-6224
Fax: (602) 944-4199
Website:
Map and Directions
Authorized official contact:
Name: Fine, Candice
Phone: (480) 244-9173

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL8638C Arizona

Profile Details

NPI number 1538652540
LBN Legal business name Avista Senior Living Desert Springs, Llc
DBA Doing business as Avista Senior Living North Mountain
Authorized official Fine, Candice
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2018
Last updated Jun 13th, 2018 - about 6 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 1538652540 NPPES
Arizona MEDICAID 677385

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