Lifestream At Thunderbird

LBN: Lifestream Complete Senior Living At Thunderbird Inc
Lifestream At Thunderbird is an health care organization with primary practice located at 13617 N 55Th Ave , Glendale AZ 85304-4701. 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. Lifestream Complete Senior Living At Thunderbird Inc can be contacted via phone (602) 938-5500, or through Kemp, Rod via phone (623) 933-3333.

Contact Information

Primary practice address
13617 N 55Th Ave Glendale AZ 85304-4701
Fax: (602) 843-9530
Website:
Authorized official contact:
Name: Kemp, Rod

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALC-4809 Arizona

Profile Details

NPI number 1881674414
LBN Legal business name Lifestream Complete Senior Living At Thunderbird Inc
DBA Doing business as Lifestream At Thunderbird
Authorized official Kemp, Rod
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Jun 29th, 2012 - about 14 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 1881674414 NPPES
Arizona MEDICAID EVC00600003119
Arizona MEDICAID 622854
Arizona MEDICAID E2103020

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