Comfort Keepers #697
LBN: Buena Suerte, Inc.
Comfort Keepers #697 is an health care organization with primary practice located at 387 Lake Havasu Ave S Suite 102, Lake Havasu City AZ 86403-9306. The organization recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Transportation Services / Private Vehicle. Agencies / In Home Supportive Care is the primary health care specialty.
Buena Suerte, Inc. can be contacted via phone (928) 855-0005, or through Gamble, Christopher L via phone (301) 639-3822.
Contact Information
Primary practice address
387 Lake Havasu Ave S Suite 102
Lake Havasu City AZ 86403-9306
Phone: (928) 855-0005
Fax: (928) 855-0075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | Arizona | |
| Transportation Services / Private Vehicle | 347C00000X | Arizona |
Profile Details
| NPI number | 1003128349 |
|---|---|
| LBN Legal business name | Buena Suerte, Inc. |
| DBA Doing business as | Comfort Keepers #697 |
| Authorized official | Gamble, Christopher L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2010 |
| Last updated | Apr 30th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003128349 | NPPES |
| Arizona | MEDICAID | 531351 |
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