Rustic River Homes

LBN: Rustic River Homes
Rustic River Homes is an health care organization with primary practice located at 2124 E Firestone Dr , Chandler AZ 85249-4634. 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. Rustic River Homes can be contacted via phone (480) 244-8457, or through Pleitner, Nathan via phone (480) 244-8457.

Contact Information

Primary practice address
2124 E Firestone Dr Chandler AZ 85249-4634
Phone: (480) 244-8457
Fax: (480) 659-1076
Website:
Map and Directions
Authorized official contact:
Name: Pleitner, Nathan
Phone: (480) 244-8457

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL9097H Arizona

Profile Details

NPI number 1689051062
LBN Legal business name Rustic River Homes
DBA Doing business as
Authorized official Pleitner, Nathan
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2015
Last updated May 5th, 2015 - about 9 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 1689051062 NPPES
Arizona MEDICAID 835207

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