Santa Rosa Care Center

LBN: Srcv-Rosa, Llc.
Santa Rosa Care Center is an health care organization with primary practice located at 1650 N Santa Rosa Ave , Tucson AZ 85712-4039. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Srcv-Rosa, Llc. can be contacted via phone (520) 795-1610, or through Klein, Mark A. via phone (520) 795-1610.

Contact Information

Primary practice address
1650 N Santa Rosa Ave Tucson AZ 85712-4039
Phone: (520) 795-1610
Fax: (520) 319-8046
Website:
Map and Directions
Authorized official contact:
Name: Klein, Mark A.
Phone: (520) 795-1610

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI2621 Arizona

Profile Details

NPI number 1205848405
LBN Legal business name Srcv-Rosa, Llc.
DBA Doing business as Santa Rosa Care Center
Authorized official Klein, Mark A.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1205848405 NPPES
Arizona MEDICAID 792491

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