Bridgewater Avondale Operations, Llc

LBN: Bridgewater Avondale Operations, Llc
Bridgewater Avondale Operations, Llc is an health care organization with primary practice located at 295 E Van Buren Street , Avondale AZ 85323. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Bridgewater Avondale Operations, Llc can be contacted via phone (602) 603-8200, or through Duran, Inge G via phone (602) 544-3195.

Contact Information

Primary practice address
295 E Van Buren Street Avondale AZ 85323
Phone: (602) 603-8200
Fax: (602) 533-7574
Website:
Map and Directions
Authorized official contact:
Name: Duran, Inge G
Phone: (602) 544-3195

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1932663994
LBN Legal business name Bridgewater Avondale Operations, Llc
DBA Doing business as
Authorized official Duran, Inge G
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2019
Last updated Jan 24th, 2019 - about 7 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 1932663994 NPPES
Arizona Other AL10996C DEPT OF HEALTH SERVICES

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