Scottsdale Village Square

LBN: Scottsdale Residential Care Investors
Scottsdale Village Square is an health care organization with primary practice located at 2620 North 68Th Street Main Building, Scottsdale AZ 85257-1202. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Scottsdale Residential Care Investors can be contacted via phone (480) 946-6571, or through Byrum, Barbara A. via phone (480) 946-6571.

Contact Information

Primary practice address
2620 North 68Th Street Main Building Scottsdale AZ 85257-1202
Phone: (480) 946-6571
Fax: (480) 946-0082
Website:
Map and Directions
Authorized official contact:
Name: Byrum, Barbara A.
Phone: (480) 946-6571

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X ALC-5259 Arizona
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI-068 Arizona

Profile Details

NPI number 1144212093
LBN Legal business name Scottsdale Residential Care Investors
DBA Doing business as Scottsdale Village Square
Authorized official Byrum, Barbara A.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 24th, 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 1144212093 NPPES
Arizona MEDICAID 426355

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