Sun Grove Village Care Center

LBN: Life Care Centers Of America, Inc.
Sun Grove Village Care Center is an health care organization with primary practice located at 20625 N Lake Pleasant Rd , Peoria AZ 85382-9704. 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. Life Care Centers Of America, Inc. can be contacted via phone (623) 566-0642, or through Cross, Cindy S via phone (423) 473-5867.

Contact Information

Primary practice address
20625 N Lake Pleasant Rd Peoria AZ 85382-9704
Phone: (623) 566-0642
Fax: (623) 566-1515
Website:
Map and Directions
Authorized official contact:
Name: Cross, Cindy S
Phone: (423) 473-5867

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X OTC-2061 Arizona

Profile Details

NPI number 1700823606
LBN Legal business name Life Care Centers Of America, Inc.
DBA Doing business as Sun Grove Village Care Center
Authorized official Cross, Cindy S
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Sep 15th, 2021 - about 4 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 1700823606 NPPES
Arizona MEDICAID 043581

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