Arizona Eastern Star Home

LBN: Arizona Eastern Star Retirement Center
Arizona Eastern Star Home is an health care organization with primary practice located at 4602 N 24Th St , Phoenix AZ 85016-5253. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Arizona Eastern Star Retirement Center can be contacted via phone (602) 833-8344, or through Parham, Maria via phone (602) 954-9178.

Contact Information

Primary practice address
4602 N 24Th St Phoenix AZ 85016-5253
Phone: (602) 833-8344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parham, Maria
Phone: (602) 954-9178

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALC-4559 Arizona
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI-307 Arizona

Profile Details

NPI number 1205824653
LBN Legal business name Arizona Eastern Star Retirement Center
DBA Doing business as Arizona Eastern Star Home
Authorized official Parham, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2005
Last updated Aug 22nd, 2020 - about 6 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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