West Lane Home

LBN: Az Advanced Care Llc
West Lane Home is an health care organization with primary practice located at 3137 W Lane Ave , Phoenix AZ 85051-6522. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Az Advanced Care Llc can be contacted via phone (602) 332-0780, or through Siddiqui, Rebecca T. via phone (602) 332-0780.

Contact Information

Primary practice address
3137 W Lane Ave Phoenix AZ 85051-6522
Phone: (602) 332-0780
Fax: (877) 517-2224
Website:
Map and Directions
Authorized official contact:
Name: Siddiqui, Rebecca T.
Phone: (602) 332-0780

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X AL9510H Arizona

Profile Details

NPI number 1447645833
LBN Legal business name Az Advanced Care Llc
DBA Doing business as West Lane Home
Authorized official Siddiqui, Rebecca T.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2015
Last updated Apr 2nd, 2015 - about 9 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 1447645833 NPPES
Arizona MEDICAID 963085

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