Prestige Assisted Living At Claremont

LBN: Lake Havasu Too, Llc
Prestige Assisted Living At Claremont is an health care organization with primary practice located at 1221 Claremont Dr , Lake Havasu City AZ 86406-8684. 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. Lake Havasu Too, Llc can be contacted via phone (928) 855-4843, or through Vislocky, Gregory J via phone (360) 735-7155.

Contact Information

Primary practice address
1221 Claremont Dr Lake Havasu City AZ 86406-8684
Phone: (928) 855-4843
Fax: (928) 855-2987
Website:
Map and Directions
Authorized official contact:
Name: Vislocky, Gregory J
Phone: (360) 735-7155

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALC 4959 Arizona

Profile Details

NPI number 1790812436
LBN Legal business name Lake Havasu Too, Llc
DBA Doing business as Prestige Assisted Living At Claremont
Authorized official Vislocky, Gregory J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1790812436 NPPES
Arizona MEDICAID 21159

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