Teresita And Mario Cabacungan
LBN: St. Michael'S Manor
Teresita And Mario Cabacungan is an health care organization with primary practice located at 8449 W Shaw Butte Dr , Peoria AZ 85345-8160. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty.
St. Michael'S Manor can be contacted via phone (623) 486-5987, or through Cabacungan, Teresita Arcena via phone (562) 673-3214.
Contact Information
Primary practice address
8449 W Shaw Butte Dr
Peoria AZ 85345-8160
Phone: (623) 486-5987
Fax: (623) 328-5530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ALH-4384 | Arizona |
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ALH-5308 | Arizona |
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ALH6365 | Arizona |
Profile Details
| NPI number | 1619047305 |
|---|---|
| LBN Legal business name | St. Michael'S Manor |
| DBA Doing business as | Teresita And Mario Cabacungan |
| Authorized official | Cabacungan, Teresita Arcena |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | May 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619047305 | NPPES |
| Arizona | Other | 827777 | AHCCCS |
| Arizona | Other | 966244 | AHCCCS |
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