Calle Homes 1

LBN: Cornwall Health Systems, Inc
Calle Homes 1 is an health care organization with primary practice located at 4229 N 82Nd Ave , Phoenix AZ 85033-2332. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Cornwall Health Systems, Inc can be contacted via phone (623) 845-0774, or through Callender, Lorna Ophelia via phone (623) 845-0774.

Contact Information

Primary practice address
4229 N 82Nd Ave Phoenix AZ 85033-2332
Phone: (623) 845-0774
Fax: (623) 974-8322
Website:
Map and Directions
Authorized official contact:
Name: Callender, Lorna Ophelia Registered Nurse (RN)
Phone: (623) 845-0774

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X ALH5269 Arizona

Profile Details

NPI number 1205977261
LBN Legal business name Cornwall Health Systems, Inc
DBA Doing business as Calle Homes 1
Authorized official Callender, Lorna Ophelia Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2007
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 1205977261 NPPES
Arizona MEDICAID 962086

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