Lifestream At Youngtown

LBN: Lifestream Complete Senior Living Inc
Lifestream At Youngtown is an health care organization with primary practice located at 11527 W Peoria Ave , Youngtown AZ 85363-1640. 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. Lifestream Complete Senior Living Inc can be contacted via phone (623) 933-4683, or through Estes, Ronald via phone (623) 933-3333.

Contact Information

Primary practice address
11527 W Peoria Ave Youngtown AZ 85363-1640
Phone: (623) 933-4683
Fax: (623) 972-4993
Website:
Map and Directions
Authorized official contact:
Name: Estes, Ronald
Phone: (623) 933-3333

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALC4381 Arizona

Profile Details

NPI number 1841513215
LBN Legal business name Lifestream Complete Senior Living Inc
DBA Doing business as Lifestream At Youngtown
Authorized official Estes, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2010
Last updated May 21st, 2013 - about 11 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 1841513215 NPPES
Arizona MEDICAID 493996

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