LIFE CARE CENTERS OF AMERICA, INC. (NPI# 1528005501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528005501 |
| Entity Type | Organization |
| Organization Name | LIFE CARE CENTERS OF AMERICA, INC. |
| Other Organization Name | GLENDALE CARE CENTER |
| Practice Address |
4704 W Diana Ave Glendale AZ 85302-5125 |
| Mailing Address |
3001 Keith St Nw Cleveland TN 37312-3713 |
| Practice Telephone | 6232473949 |
| Practice Fax Number | 6239301104 |
| Mailing Telephone | 4234735751 |
| Mailing Fax Number | 4234735751 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | CINDY S CROSS (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 4234735867 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCI-330 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 035340 | 05 |
| Other Name | Type Code |
|---|---|
| Glendale Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750448437 | Life Care Centers of America, Inc. | Respite Care | 1625 Carr St, Lakewood, CO 80214-5926 | 2007-01-02 |
| 1083771679 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2007-01-02 |
| 1467540070 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 4041 S Poplar St, Casper, WY 82601-5928 | 2006-10-10 |
| 1467461103 | Life Care Centers of America, Inc. | Respite Care | 530 W 16th St, Salida, CO 81201-2240 | 2006-08-05 |
| 1164440103 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1510 Cypress Gardens Boulevard, Winter Haven, FL 33884 | 2006-07-17 |
| 1356367700 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 8104 Tuttle Ave, Sarasota, FL 34243-2885 | 2006-07-15 |
| 1235155680 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 355 Crossing Blvd, Orange Park, FL 32073-2860 | 2006-07-15 |
| 1497771836 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3720 Se Jennings Rd, Port St Lucie, FL 34952-7701 | 2006-07-15 |
| 1417973389 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 2800 Sw 41st St, Ocala, FL 34474-4454 | 2006-07-14 |
| 1427083799 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 501 W Economy Rd, Morristown, TN 37814-3222 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St Nw, Cleveland, TN 37312 |
| Connecticut Business Registrations | LIFE CARE CENTERS OF AMERICA, INC. | 114 South Main St, Bel Air, MD 21014 |
| Washington State Corporations | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St Nw, Cleveland, TN 37312-4309 |
| Oregon Corporations, Companies and Business Names | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith Street Nw, Cleveland, TN 37311 |
| Massachusetts Corporations | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St.,n.w., Cleveland, TN 37312 |
| Street Address |
4704 W DIANA AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-5125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760036602 | Viewpoint Healthcare, Inc. | Clinic/Center | 4704 W Diana Ave, Glendale, AZ 85302-5125 | 2019-07-29 |
| 1942614524 | Elizabeth Randall | Physical Therapy Assistant | 4704 W Diana Ave, Glendale, AZ 85302-5125 | 2014-06-11 |
| 1518389311 | Viewpoint Healthcare, Inc. | Skilled Nursing Facility | 4704 W Diana Ave, Glendale, AZ 85302-5125 | 2014-01-13 |
| 1811015159 | Maria Fatima Carrasco Plitz | Physical Therapist | 4704 W Diana Ave, Glendale, AZ 85302-5125 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| 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 |
|---|---|---|---|---|
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| 1568929891 | Family Care Clhf, Inc. | Skilled Nursing Facility | 1412 Cleveland Rd, Glendale, CA 91202-1415 | 2019-02-22 |
| 1831645282 | Glendale House Clhs, Inc. | Skilled Nursing Facility | 620 Myrtle St, Glendale, CA 91203-1612 | 2016-08-26 |
| 1881085728 | Center At Arrowhead, LLC | Skilled Nursing Facility | 7201 W. Camino San Xavier Ave., Glendale, AZ 85308 | 2015-02-13 |
| 1740543545 | Kindred | Skilled Nursing Facility | 5677 N Argyle Ave, Glendale, WI 53209-4359 | 2012-06-18 |
| 1447498852 | Ahc of Glendale LLC | Skilled Nursing Facility | 16825 N 63rd Avenue, Glendale, AZ 85306-1001 | 2009-01-23 |
| 1043335979 | Andrea M Martell | Skilled Nursing Facility | 17600 N 79th Ave, Apt 102, Glendale, AZ 85308-8682 | 2007-03-20 |
| 1164575320 | Central Convalescent Hospital of Glendale Inc | Skilled Nursing Facility | 525 S Central Ave, Glendale, CA 91204-2006 | 2007-01-19 |
| 1154474302 | Dakota Medical Inc. | Skilled Nursing Facility | 409 W Glenoaks Blvd, Glendale, CA 91202-2916 | 2007-01-19 |
| 1053480418 | Broadway Manor Care Center Inc | Skilled Nursing Facility | 605 W Broadway, Glendale, CA 91204-1007 | 2006-11-07 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on LIFE CARE CENTERS OF AMERICA, INC..
| 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.