La Mesa Healthcare Center

LBN: Five Star Quality Care-Az Llc
La Mesa Healthcare Center is an health care organization with primary practice located at 2470 S Arizona Ave , Yuma AZ 85364-8520. 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 Quality Care-Az Llc can be contacted via phone (928) 344-8541, or through Hoagland, Paul via phone (617) 796-8292.

Contact Information

Primary practice address
2470 S Arizona Ave Yuma AZ 85364-8520
Fax: (928) 344-0823
Website:
Authorized official contact:
Name: Hoagland, Paul

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI369 Arizona

Profile Details

NPI number 1982659819
LBN Legal business name Five Star Quality Care-Az Llc
DBA Doing business as La Mesa Healthcare Center
Authorized official Hoagland, Paul
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2006
Last updated Jul 9th, 2015 - about 10 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 1982659819 NPPES
Arizona MEDICAID 559841

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