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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144212093 | NPPES |
| Arizona | MEDICAID | 426355 |
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