Chris Ridge Premier Care & Rehabilitation Center

LBN: Azore Ii, Llc
Chris Ridge Premier Care & Rehabilitation Center is an health care organization with primary practice located at 6246 N 19Th Ave , Phoenix AZ 85015-1511. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Azore Ii, Llc can be contacted via phone (602) 433-6300, or through Garber, Mark via phone (541) 746-1020.

Contact Information

Primary practice address
6246 N 19Th Ave Phoenix AZ 85015-1511
Phone: (602) 433-6300
Fax: (602) 433-6458
Website:
Map and Directions
Authorized official contact:
Name: Garber, Mark
Phone: (541) 746-1020

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI2661 Arizona

Profile Details

NPI number 1124064605
LBN Legal business name Azore Ii, Llc
DBA Doing business as Chris Ridge Premier Care & Rehabilitation Center
Authorized official Garber, Mark
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 21st, 2006
Last updated Feb 23rd, 2015 - about 10 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 1124064605 NPPES
Arizona MEDICAID 137010

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