Class Act Glencove Mesa, Llc

LBN: Class Act Glencove Mesa, Llc
Class Act Glencove Mesa, Llc is an health care organization with primary practice located at 2156 E Glencove St , Mesa AZ 85213-4611. 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. Class Act Glencove Mesa, Llc can be contacted via phone (480) 464-9958, or through Miller, Terrie via phone (760) 408-4049.

Contact Information

Primary practice address
2156 E Glencove St Mesa AZ 85213-4611
Phone: (480) 464-9958
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Terrie
Phone: (760) 408-4049

Health care specialties

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

Profile Details

NPI number 1548824162
LBN Legal business name Class Act Glencove Mesa, Llc
DBA Doing business as
Authorized official Miller, Terrie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2019
Last updated Apr 29th, 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 1548824162 NPPES
Arizona Other AK1044OH LICENSE NUMBER
Arizona Other 419737 LICENSE NUMBER

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