PHOENIX HEALTHCARE LLC


Address: 4202 N 20th Ave, Phoenix, AZ 85015-5101
Phone: 6022643824

PHOENIX HEALTHCARE LLC (NPI# 1275712002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275712002
Entity Type Organization
Organization Name PHOENIX HEALTHCARE LLC
Other Organization Name GRACE HEALTHCARE OF PHOENIX
Practice Address 4202 N 20th Ave
Phoenix
AZ 85015-5101
Practice Telephone 6022643824
Practice Fax Number 6022796234
Mailing Telephone 6022643824
Mailing Fax Number 6022796234
Enumeration Date 2007-10-29
Last Update Date 2008-04-17
Authorized Official Name MRS. ALICE MARIE CLARK DANKS (VP OF FINANCE)
Authorized Official Telephone 4233081845
Authorized Official Credential CPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility NCI-2667 AZ Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Grace Healthcare of Phoenix Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356454094 Phoenix Healthcare LLC Nursing Facility/Intermediate Care Facility 1503 Har-ber Rd, Grove, OK 74344-3525 2006-08-16
1780694711 Phoenix Healthcare LLC Nursing Facility/Intermediate Care Facility 1165 S. Brenner Rd, Sapulpa, OK 74066-6141 2006-08-09
1740296490 Phoenix Healthcare LLC Skilled Nursing Facility 3601 N Columbia Ave, Tulsa, OK 74110-1232 2006-08-01
1891700761 Phoenix Healthcare LLC Skilled Nursing Facility 5701 W Britton Rd, Oklahoma City, OK 73132-2402 2006-07-29
1104830421 Phoenix Healthcare LLC Skilled Nursing Facility 1944 N Iroquois Ave, Tulsa, OK 74106-4407 2006-07-29
1366493066 Phoenix Healthcare LLC Skilled Nursing Facility 1235 Yancey St, Roanoke, AL 36274-2141 2006-05-15
1780687590 Phoenix Healthcare LLC Skilled Nursing Facility 10912 E 14th St, Tulsa, OK 74128-4845 2005-05-24

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Phoenix Healthcare LLC 52 Riley Road, #318, Celebration, FL 34747
North Carolina Corporations Phoenix Healthcare LLC 176 Mine Lake Court Suite 100, Raleigh, NC 27615-6417

Office Location

Street Address 4202 N 20TH AVE
City PHOENIX
State AZ
Zip Code 85015-5101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285741587 Dina I Zaza IIi Physical Medicine & Rehabilitation 4202 N 20th Ave, Phoenix, AZ 85015-5101 2006-08-23
1629676135 Nicole Alison Fukuzawa Occupational Therapist 4202 N 20th Ave, Phoenix, AZ 85015-5101 2020-10-16
1063975720 Louis Bartlo IIi Physical Therapist 4202 N 20th Ave, Phoenix, AZ 85015-5101 2019-04-10
1104389980 Shannon Halstead Physical Therapist 4202 N 20th Ave, Phoenix, AZ 85015-5101 2019-04-09
1437612223 Rachel Knowles Occupational Therapist 4202 N 20th Ave, Phoenix, AZ 85015-5101 2019-04-09
1215383237 Haven of Phoenix LLC Skilled Nursing Facility 4202 N 20th Ave, Phoenix, AZ 85015-5101 2016-05-09
1518308592 Zaza Rehabmd LLC Physical Medicine & Rehabilitation 4202 N 20th Ave, Phoenix, AZ 85015-5101 2013-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
1295160380 Journey To Prosperity Custodial Care Facility 1623 W Denton, Phoenix, AZ 85015 2013-09-07
1124372099 Facing The Future With Hope Counselor 5656 N 17th Ave #c7, Phoenix, AZ 85015 2012-10-31
1700133998 Srujal Vinubhai Patel Internal Medicine 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 2012-08-07
1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326592825 Lifestream Complete Senior Living At Northeast Phoenix, Inc. Skilled Nursing Facility 20802 N. Cave Creek Road, Building 86, Phoenix, AZ 85024 2016-08-12
1548657083 Kindred Nursing Centers West, LLC Skilled Nursing Facility 1880 E Van Buren St, Phoenix, AZ 85006-3742 2015-04-22
1396972667 Caremeridian, LLC Skilled Nursing Facility 5301 E Thomas Rd, Phoenix, AZ 85018-8011 2009-06-15
1649440751 Pinnacle Health Facilities Xxv Lp Skilled Nursing Facility 15810 South 42nd Street, Phoenix, AZ 85048-7409 2008-03-04
1619058120 Humangood Arizona Inc. Skilled Nursing Facility 7550 N 16th St, Phoenix, AZ 85020 2006-10-18
1326134107 Senior Living Options Maryland Gardens, LLC Skilled Nursing Facility 31 W Maryland Ave, Phoenix, AZ 85013-1227 2006-10-05
1013009745 State of Arizona State Dept of Finance Skilled Nursing Facility 4141 North S. Herrera Way, Phoenix, AZ 85012 2006-09-29
1811096738 Srcv Haven, LLC Skilled Nursing Facility 2645 East Thomas Road, Phoenix, AZ 85016-8201 2006-09-21
1275570269 Life Care Centers of America, Inc. Skilled Nursing Facility 8008 S Jesse Owens Pkwy, Phoenix, AZ 85042-6516 2006-05-31
1659324242 Life Care Centers of America, Inc. Skilled Nursing Facility 4065 E Bell Rd, Phoenix, AZ 85032-2208 2006-05-18
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Competitor

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City PHOENIX
Zip Code 85015

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Dataset Information

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.

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