Third Street Home

LBN: Third Street Home
Third Street Home is an health care organization with primary practice located at 1053 E 3Rd St , Mesa AZ 85203-8001. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Third Street Home can be contacted via phone (480) 610-6974, or through Bondar, Amalia Simona via phone (480) 610-6974.

Contact Information

Primary practice address
1053 E 3Rd St Mesa AZ 85203-8001
Fax: (480) 610-6974
Website:
Authorized official contact:
Name: Bondar, Amalia Simona

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALH-4846 Arizona
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X ALH-4846 Arizona

Profile Details

NPI number 1154511202
LBN Legal business name Third Street Home
DBA Doing business as
Authorized official Bondar, Amalia Simona
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 25th, 2007 - about 17 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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