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
Phone: (480) 610-6974
Fax: (480) 610-6974
Website:
Health care specialties
Specialty | Code | License # | 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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