Hearthstone Manor

LBN: Hearthstone Manor Llc
Hearthstone Manor is an health care organization with primary practice located at 9221 E Dolores St , Tucson AZ 85730-2132. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Hearthstone Manor Llc can be contacted via phone (520) 396-4779, or through Fegert, Jacqueline via phone (520) 396-4779.

Contact Information

Primary practice address
9221 E Dolores St Tucson AZ 85730-2132
Phone: (520) 396-4779
Fax: (520) 777-6636
Website:
Map and Directions
Authorized official contact:
Name: Fegert, Jacqueline
Phone: (520) 396-4779

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL6579H Arizona

Profile Details

NPI number 1124321864
LBN Legal business name Hearthstone Manor Llc
DBA Doing business as Hearthstone Manor
Authorized official Fegert, Jacqueline
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2010
Last updated Dec 20th, 2010 - about 14 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 1124321864 NPPES
Arizona MEDICAID 267331

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