Ridgecrest Healthcare

LBN: Slo Ridgecrest Llc
Ridgecrest Healthcare is an health care organization with primary practice located at 16640 N 38Th St , Phoenix AZ 85032-2103. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Slo Ridgecrest Llc can be contacted via phone (602) 482-6671, or through Sweet, Colleen Helen via phone (480) 797-9948.

Contact Information

Primary practice address
16640 N 38Th St Phoenix AZ 85032-2103
Phone: (602) 482-6671
Fax: (602) 482-3541
Website:
Map and Directions
Authorized official contact:
Name: Sweet, Colleen Helen
Phone: (480) 797-9948

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NCI2651 Arizona
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI2651 Arizona

Profile Details

NPI number 1275521627
LBN Legal business name Slo Ridgecrest Llc
DBA Doing business as Ridgecrest Healthcare
Authorized official Sweet, Colleen Helen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2005
Last updated Feb 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275521627 NPPES
Arizona MEDICAID 924771

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