Immanuel Campus Of Care

LBN: Immanuel Caring Ministries, Inc.
Immanuel Campus Of Care is an health care organization with primary practice located at 11301 N 99Th Ave , Peoria AZ 85345-5466. 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 / Skilled Nursing Facility is the primary health care specialty. Immanuel Caring Ministries, Inc. can be contacted via phone (623) 977-8373, or through Byrum-Nielsen, Barbara Ann via phone (623) 977-8373.

Contact Information

Primary practice address
11301 N 99Th Ave Peoria AZ 85345-5466
Phone: (623) 977-8373
Fax: (623) 974-4849
Website:
Map and Directions
Authorized official contact:
Name: Byrum-Nielsen, Barbara Ann
Phone: (623) 977-8373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALC4369 Arizona
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI066 Arizona

Profile Details

NPI number 1265439889
LBN Legal business name Immanuel Caring Ministries, Inc.
DBA Doing business as Immanuel Campus Of Care
Authorized official Byrum-Nielsen, Barbara Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2005
Last updated Apr 16th, 2024 - about 2 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 1265439889 NPPES
Arizona MEDICAID 447591

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