<Unavail>

LBN: St Charles Place
<Unavail> is an health care organization with primary practice located at 6818 S 16Th Pl , Phoenix AZ 85042-5714. 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. St Charles Place can be contacted via phone (602) 276-0084, or through Williams, James via phone (602) 276-0084.

Contact Information

Primary practice address
6818 S 16Th Pl Phoenix AZ 85042-5714
Phone: (602) 276-0084
Fax: (602) 595-9969
Website:
Map and Directions
Authorized official contact:
Name: Williams, James MSW
Phone: (602) 276-0084

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL3064H Arizona
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL 8954H Arizona

Profile Details

NPI number 1861876500
LBN Legal business name St Charles Place
DBA Doing business as <Unavail>
Authorized official Williams, James MSW
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 13th, 2015
Last updated Jul 13th, 2015 - about 11 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 1861876500 NPPES
Arizona MEDICAID 426933

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