Caliche Senior Living

LBN: Casa Grande Senior Living, Llc
Caliche Senior Living is an health care organization with primary practice located at 1640 N Peart Rd , Casa Grande AZ 85122-2564. 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. Casa Grande Senior Living, Llc can be contacted via phone (520) 314-9040, or through Freshwater, David via phone (520) 797-4000.

Contact Information

Primary practice address
1640 N Peart Rd Casa Grande AZ 85122-2564
Phone: (520) 314-9040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Freshwater, David
Phone: (520) 797-4000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1629542212
LBN Legal business name Casa Grande Senior Living, Llc
DBA Doing business as Caliche Senior Living
Authorized official Freshwater, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 19th, 2023 - about last year

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 1629542212 NPPES
Arizona MEDICAID AL10326C

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