The Forum At Desert Harbor

LBN: Five Star Desert Harbor Llc
The Forum At Desert Harbor is an health care organization with primary practice located at 13840 N Desert Harbor Dr , Peoria AZ 85381-3501. 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. Five Star Desert Harbor Llc can be contacted via phone (623) 972-0995, or through Potter, Katherine E via phone (617) 796-8387.

Contact Information

Primary practice address
13840 N Desert Harbor Dr Peoria AZ 85381-3501
Phone: (623) 972-0995
Fax: (623) 977-5271
Website:
Map and Directions
Authorized official contact:
Name: Potter, Katherine E
Phone: (617) 796-8387

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI-421 Arizona

Profile Details

NPI number 1528023033
LBN Legal business name Five Star Desert Harbor Llc
DBA Doing business as The Forum At Desert Harbor
Authorized official Potter, Katherine E
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 18th, 2006
Last updated Mar 28th, 2019 - about 6 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 1528023033 NPPES
Arizona Other AZ0401890 BLUE CROSS BLUE SHIELD OF

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