Havasu Nursing Center

LBN: Havasu Nursing Center 2 Inc
Havasu Nursing Center is an health care organization with primary practice located at 3576 Kearsage Dr , Lake Havasu City AZ 86406-9115. 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. Havasu Nursing Center 2 Inc can be contacted via phone (928) 453-1500, or through Shirrell, Cliff via phone (573) 471-1276.

Contact Information

Primary practice address
3576 Kearsage Dr Lake Havasu City AZ 86406-9115
Phone: (928) 453-1500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shirrell, Cliff
Phone: (573) 471-1276

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NC1-355 Arizona

Profile Details

NPI number 1831121813
LBN Legal business name Havasu Nursing Center 2 Inc
DBA Doing business as Havasu Nursing Center
Authorized official Shirrell, Cliff
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 31st, 2017 - about 8 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 1831121813 NPPES
Arizona MEDICAID 041682

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