SENIOR LIVING OPTIONS LLC (NPI# 1093785958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093785958 |
| Entity Type | Organization |
| Organization Name | SENIOR LIVING OPTIONS LLC |
| Other Organization Name | PALM VALLEY REHABILITATION AND CARE CENTER |
| Practice Address |
13575 W Mcdowell Rd Goodyear AZ 85395-2604 |
| Practice Telephone | 6235369911 |
| Practice Fax Number | 6235369502 |
| Mailing Telephone | 6235369911 |
| Mailing Fax Number | 6235369502 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | MR. ROSS RICHARDSON (PARTNER) |
| Authorized Official Telephone | 4807979949 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENIOR LIVING OPTIONS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCI2645 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 873473 | 05 |
| Other Name | Type Code |
|---|---|
| Palm Valley Rehabilitation and Care Center | Doing Business As Name - Organization |
| Street Address |
13575 W MCDOWELL RD |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967509 | Brennan Bonnett | Physical Therapist | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2020-06-23 |
| 1437786316 | Bryan Gardner | Occupational Therapist | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2020-03-23 |
| 1114551231 | Janessa Lynn Tidwell | Speech-Language Pathologist | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2020-02-27 |
| 1538793740 | Shannon Vaughan | Occupational Therapist | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2020-02-26 |
| 1437795911 | Emily Allen Berriochoa | Speech-Language Pathologist | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2019-11-20 |
| 1437719994 | Sheree Lopez | Physical Therapy Assistant | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2019-06-17 |
| 1649739046 | Tasha L Knepp | Physical Therapy Assistant | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2019-03-15 |
| 1083157317 | Kalee Koburi | Speech-Language Pathologist | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2016-11-17 |
| 1215387790 | Kimberly Salinas | Occupational Therapist | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2016-06-15 |
| 1417396748 | Darla Mcdonald | Physical Therapy Assistant | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2013-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1295084440 | Windsor Palm Valley, LLC | Skilled Nursing Facility | 13575 W Mcdowell Rd, Goodyear, AZ 85395-2604 | 2012-09-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.