Mingus Terrace Assisted Living Home

LBN: Bfb Assisted Living Homes, Llc
Mingus Terrace Assisted Living Home is an health care organization with primary practice located at 1236 S Pioneer Dr , Cottonwood AZ 86326-4772. 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. Bfb Assisted Living Homes, Llc can be contacted via phone (928) 649-0275, or through Fruchey, Lori Marie via phone (928) 634-7198.

Contact Information

Primary practice address
1236 S Pioneer Dr Cottonwood AZ 86326-4772
Phone: (928) 649-0275
Fax: (928) 649-0276
Website:
Map and Directions
Authorized official contact:
Name: Fruchey, Lori Marie
Phone: (928) 634-7198

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALH-5769 Arizona

Profile Details

NPI number 1174619092
LBN Legal business name Bfb Assisted Living Homes, Llc
DBA Doing business as Mingus Terrace Assisted Living Home
Authorized official Fruchey, Lori Marie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
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 1174619092 NPPES
Arizona MEDICAID 114608

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