Austin House Assisted Living

LBN: Slo Austin House, Llc
Austin House Assisted Living is an health care organization with primary practice located at 195 S Willard St , Cottonwood AZ 86326-4123. 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. Slo Austin House, Llc can be contacted via phone (928) 634-4278, or through Ricca, Janya via phone (928) 634-4278.

Contact Information

Primary practice address
195 S Willard St Cottonwood AZ 86326-4123
Phone: (928) 634-4278
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ricca, Janya
Phone: (928) 634-4278

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL8288C Arizona

Profile Details

NPI number 1366741225
LBN Legal business name Slo Austin House, Llc
DBA Doing business as Austin House Assisted Living
Authorized official Ricca, Janya
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2011
Last updated Mar 17th, 2011 - about 15 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 1366741225 NPPES
Arizona Other 580662 AHCCCS PROVIDER NUMBER

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