Chris Ridge Village Health Care Center

LBN: Chris Ridge Village Health Care Center
Chris Ridge Village Health Care 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. Chris Ridge Village Health Care Center can be contacted via phone (602) 433-6300, or through Williamson, Teresa via phone (602) 433-6300.

Contact Information

Primary practice address
6246 N 19Th Ave Phoenix AZ 85015-1511
Phone: (602) 433-6300
Fax: (602) 433-5458
Website:
Map and Directions
Authorized official contact:
Name: Williamson, Teresa
Phone: (602) 433-6300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI-367 Arizona

Profile Details

NPI number 1649268657
LBN Legal business name Chris Ridge Village Health Care Center
DBA Doing business as
Authorized official Williamson, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Sep 28th, 2007 - about 18 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 1649268657 NPPES
Arizona MEDICAID 355976

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