Villa Maria Care Center, Llc

LBN: Villa Maria Care Center, Llc
Villa Maria Care Center, Llc is an health care organization with primary practice located at 4310 E Grant Rd , Tucson AZ 85712-2607. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Villa Maria Care Center, Llc can be contacted via phone (602) 368-8203, or through Mcnellis, Terry via phone (612) 991-9062.

Contact Information

Primary practice address
4310 E Grant Rd Tucson AZ 85712-2607
Phone: (602) 368-8203
Fax: (602) 368-8211
Website:
Map and Directions
Authorized official contact:
Name: Mcnellis, Terry
Phone: (612) 991-9062

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALC4564 Arizona
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI263 Arizona

Profile Details

NPI number 1902953813
LBN Legal business name Villa Maria Care Center, Llc
DBA Doing business as
Authorized official Mcnellis, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 8th, 2021 - about 5 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 1902953813 NPPES
Arizona MEDICAID 618324
Arizona MEDICAID 566292

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