Avista Senior Living Vita Bella, Llc

LBN: Avista Senior Living Vita Bella, Llc
Avista Senior Living Vita Bella, Llc is an health care organization with primary practice located at 248 N Macdonald , Mesa AZ 85201-6651. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Avista Senior Living Vita Bella, Llc can be contacted via phone (480) 964-6685, or through Woolley, Kristopher L via phone (602) 628-5900.

Contact Information

Primary practice address
248 N Macdonald Mesa AZ 85201-6651
Phone: (480) 964-6685
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woolley, Kristopher L
Phone: (602) 628-5900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X Arizona

Profile Details

NPI number 1902185994
LBN Legal business name Avista Senior Living Vita Bella, Llc
DBA Doing business as
Authorized official Woolley, Kristopher L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2011
Last updated Aug 9th, 2011 - about 14 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 1902185994 NPPES
Arizona MEDICAID AL8507C

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