Mara Villa Care Center, Inc.

LBN: Mara Villa Care Center, Inc.
Mara Villa Care Center, Inc. is an health care organization with primary practice located at 8825 S 7Th St , Phoenix AZ 85042-7626. 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. Mara Villa Care Center, Inc. can be contacted via phone (602) 243-6121, or through Trebert, Gary R via phone (817) 359-2000.

Contact Information

Primary practice address
8825 S 7Th St Phoenix AZ 85042-7626
Phone: (602) 243-6121
Fax: (602) 276-7390
Website:
Map and Directions
Authorized official contact:
Name: Trebert, Gary R
Phone: (817) 359-2000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI2644 Arizona

Profile Details

NPI number 1992797294
LBN Legal business name Mara Villa Care Center, Inc.
DBA Doing business as
Authorized official Trebert, Gary R
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2005
Last updated Aug 22nd, 2020 - 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 1992797294 NPPES
Arizona MEDICAID 882250

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