Lakeshore Crest,Llc

LBN: Lakeshore Crest,Llc
Lakeshore Crest,Llc is an health care organization with primary practice located at 19535 N 55Th Dr , Glendale AZ 85308-6805. 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. Lakeshore Crest,Llc can be contacted via phone (623) 376-6469, or through Castro, Mariafe Santos via phone (480) 518-1969.

Contact Information

Primary practice address
19535 N 55Th Dr Glendale AZ 85308-6805
Phone: (623) 376-6469
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Castro, Mariafe Santos
Phone: (480) 518-1969

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL8496H Arizona

Profile Details

NPI number 1568758795
LBN Legal business name Lakeshore Crest,Llc
DBA Doing business as
Authorized official Castro, Mariafe Santos
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2011
Last updated Mar 12th, 2012 - about 13 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 1568758795 NPPES
Arizona MEDICAID 629718

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