BANNER BOSWELL MEDICAL CENTER (NPI# 1053571182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053571182 |
| Entity Type | Organization |
| Organization Name | BANNER BOSWELL MEDICAL CENTER |
| Other Organization Name | BANNER BOSWELL REHABILITATION CENTER |
| Practice Address |
10601 W Santa Fe Dr Sun City AZ 85351-3036 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6239747000 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-12-06 |
| Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Banner Boswell Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558521070 | Banner Boswell Medical Center | Rehabilitation Unit | 10601 W Santa Fe Dr, Sun City, AZ 85351-3036 | 2008-06-10 |
| 1952560914 | Banner Boswell Medical Center | General Acute Care Hospital | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2008-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BANNER BOSWELL MEDICAL CENTER | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 |
| Street Address |
10601 W SANTA FE DR |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85351-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083668578 | Sun Health Corporation | Rehabilitation Unit | 10601 W Santa Fe Dr, Sun City, AZ 85351-3036 | 2006-05-20 |
| 1558521070 | Banner Boswell Medical Center | Rehabilitation Unit | 10601 W Santa Fe Dr, Sun City, AZ 85351-3036 | 2008-06-10 |
| 1770505448 | Sun Health Boswell Rehab Center | Skilled Nursing Facility | 10601 W Santa Fe Dr, Sun City, AZ 85351-3036 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
| 1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
| 1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
| 1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
| 1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
| Find all providers in zip 85351 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205874609 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 27600 Encanto Dr, Sun City, CA 92586-3304 | 2006-06-04 |
| 1073561775 | Evergreen At Sun City, L.L.C. | Skilled Nursing Facility | 9940 W Union Hills Dr, Sun City, AZ 85373-1673 | 2006-05-04 |
| 1629066550 | Hearthstone Hospital Sun City | Skilled Nursing Facility | 13818 N Thunderbird Blvd, Sun City, AZ 85351-2574 | 2005-10-13 |
| 1154801272 | 9940 West Union Hills Drive Operations LLC | Skilled Nursing Facility | 9940 W Union Hills Dr, Sun City, AZ 85373-1673 | 2018-08-17 |
| 1114287430 | Restora Hospital of Sun City, LLC | Skilled Nursing Facility | 13818 N Thunderbird Blvd, Sun City, AZ 85351-2574 | 2012-05-21 |
| 1528327806 | Acuity Specialty Hospital of Arizona At Sun City LLC | Skilled Nursing Facility | 13818 N Thunderbird Blvd, Sun City, AZ 85351-2574 | 2012-05-08 |
| 1518263052 | Sun Valley Lodge | Skilled Nursing Facility | 12415 N 103rd Ave, Sun City, AZ 85351-3509 | 2011-02-01 |
| 1376714758 | Pinnacle Health Facilities Xxvi Lp | Skilled Nursing Facility | 9940 W Union Hills Dr, Sun City, AZ 85373-1673 | 2008-03-13 |
| 1770505448 | Sun Health Boswell Rehab Center | Skilled Nursing Facility | 10601 W Santa Fe Dr, Sun City, AZ 85351-3036 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630175 | P. Deanda Medical Pllc | Skilled Nursing Facility | 1950 W Paseo Monserrat, Tucson, AZ 85704-1329 | 2020-05-12 |
| 1477187995 | Welbrook Yuma Opco LLC | Skilled Nursing Facility | 2271 S Ridgeview Dr, Yuma, AZ 85364-8872 | 2020-02-24 |
| 1487215067 | Ludden Healthcare, Inc. | Skilled Nursing Facility | 14660 W Parkwood Dr, Surprise, AZ 85374-4590 | 2019-06-25 |
| 1396208955 | Manuella D Khoshaba | Skilled Nursing Facility | 13821 W Crocus Dr, Surprise, AZ 85379-8340 | 2019-04-10 |
| 1518489244 | Moc Surprise, LLC | Skilled Nursing Facility | 14660 West Parkwood Drive, Surprise, AZ 85374 | 2017-07-14 |
| 1780106765 | Moc Tucson, LLC | Skilled Nursing Facility | 5151 East Pima Street, Tucson, AZ 85712 | 2017-07-12 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1891234126 | Center At Tucson, LLC | Skilled Nursing Facility | 5020 East Glen Street, Tucson, AZ 85712 | 2017-02-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.