Amethyst Gardens Assisted Living

LBN: Lsref Golden Ops Ue (Az), Llc
Amethyst Gardens Assisted Living is an health care organization with primary practice located at 18170 N 91St Ave , Peoria AZ 85382-0866. 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. Lsref Golden Ops Ue (Az), Llc can be contacted via phone (623) 974-5848, or through Peterson, Wick via phone (858) 436-7662.

Contact Information

Primary practice address
18170 N 91St Ave Peoria AZ 85382-0866
Phone: (623) 974-5848
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Wick
Phone: (858) 436-7662

Health care specialties

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

Profile Details

NPI number 1295057339
LBN Legal business name Lsref Golden Ops Ue (Az), Llc
DBA Doing business as Amethyst Gardens Assisted Living
Authorized official Peterson, Wick
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2010
Last updated Feb 16th, 2010 - about 16 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 1295057339 NPPES
Arizona MEDICAID 418044

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