Heritage Village Bldg2, Llc

LBN: Heritage Village Bldg2, Llc
Heritage Village Bldg2, Llc is an health care organization with primary practice located at 8035 E Brown Rd , Mesa AZ 85207-3901. 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. Heritage Village Bldg2, Llc can be contacted via phone (480) 686-8540, or through Stewart, Ron via phone (253) 241-4992.

Contact Information

Primary practice address
8035 E Brown Rd Mesa AZ 85207-3901
Phone: (480) 686-8540
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stewart, Ron
Phone: (253) 241-4992

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL105345C Arizona

Profile Details

NPI number 1922518067
LBN Legal business name Heritage Village Bldg2, Llc
DBA Doing business as
Authorized official Stewart, Ron
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2017
Last updated Oct 3rd, 2017 - about 9 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 1922518067 NPPES
Arizona Other AL10534C ASSISTED LIVING LICENSE

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