Maryland Gardens Assisted Living

LBN: Senior Living Options Maryland Gardens, Llc
Maryland Gardens Assisted Living is an health care organization with primary practice located at 31 W Maryland Ave , Phoenix AZ 85013-1227. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), which is considered as the primary health care specialty. Senior Living Options Maryland Gardens, Llc can be contacted via phone (602) 265-7484, or through Mockbee, Sean via phone (602) 265-7484.

Contact Information

Primary practice address
31 W Maryland Ave Phoenix AZ 85013-1227
Phone: (602) 265-7484
Fax: (602) 265-0659
Website:
Map and Directions
Authorized official contact:
Name: Mockbee, Sean
Phone: (602) 265-7484

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X ALC5942 Arizona

Profile Details

NPI number 1386726222
LBN Legal business name Senior Living Options Maryland Gardens, Llc
DBA Doing business as Maryland Gardens Assisted Living
Authorized official Mockbee, Sean
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Jun 17th, 2008 - about 16 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 1386726222 NPPES
Arizona MEDICAID 160139

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