Heritage Lane Behavioral Assisted Living

LBN: Heritage Life Center Llc
Heritage Lane Behavioral Assisted Living is an health care organization with primary practice located at 1040 S Lebaron , Mesa AZ 85210-3631. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is the primary health care specialty. Heritage Life Center Llc can be contacted via phone (480) 307-8809, or through Gunnell, Reed T via phone (480) 307-8809.

Contact Information

Primary practice address
1040 S Lebaron Mesa AZ 85210-3631
Phone: (480) 307-8809
Fax: (480) 781-0019
Website:
Map and Directions
Authorized official contact:
Name: Gunnell, Reed T
Phone: (480) 307-8809

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL7718C Arizona
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1053615906
LBN Legal business name Heritage Life Center Llc
DBA Doing business as Heritage Lane Behavioral Assisted Living
Authorized official Gunnell, Reed T
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2011
Last updated May 5th, 2022 - about 2 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.

Request for update

Popular Providers