EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC (NPI# 1760814727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760814727 |
| Entity Type | Organization |
| Organization Name | EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC |
| Practice Address |
2675 N Wyatt Dr Tucson AZ 85712-6107 |
| Mailing Address |
1785 Hancock St Suite 100 San Diego CA 92110-2073 |
| Practice Telephone | 5203207505 |
| Mailing Telephone | 6192969000 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | MR. BRUCE SCHOEN (EX VP/CFO) |
| Authorized Official Telephone | 5039053347 |
| Is Organization Subpart | Y |
| Parent Organization Name | EXTENDED CARE PORTFOLIO TENANT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | AL6987C | AZ | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730314626 | Extended Care Portfolio Multistate Pool Tenant, LLC | Assisted Living Facility | 16621 N 38th St, Phoenix, AZ 85032-2102 | 2009-05-20 |
| 1801295894 | Extended Care Portfolio Multistate Pool Tenant, LLC | Assisted Living Facility | 777 E 3900 S, Salt Lake City, UT 84107-2199 | 2014-08-15 |
| 1083884571 | Extended Care Portfolio Multistate Pool Tenant, LLC | Assisted Living Facility | 9045 W Athens St, Peoria, AZ 85382-8155 | 2008-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC | 1400 Ne 2nd Ave, Portland, OR 97233 |
| Street Address |
2675 N WYATT DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770812331 | Ana M Ben Shabat | Nurse Practitioner | 2675 N Wyatt Dr, Tucson, AZ 85712-6107 | 2009-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060004 | Hope Springs Memory Care, LLC | Alzheimer Center (Dementia Center) | 4762 E Adams St, Tucson, AZ 85712-4002 | 2018-10-25 |
| 1154779635 | Regency Senior Club | Alzheimer Center (Dementia Center) | 2972 N Campbell Ave, Tucson, AZ 85719-2813 | 2016-05-25 |
| 1659771103 | Jamison Senior Living Communities, LLC | Alzheimer Center (Dementia Center) | 1020 N Woodland Ave, Tucson, AZ 85711-7308 | 2014-09-02 |
| 1316168081 | Brea Tucson LLC | Alzheimer Center (Dementia Center) | 3701 N Swan Rd, Tucson, AZ 85718-6968 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
| 1215273578 | Gilbert Partners, LLC | Alzheimer Center (Dementia Center) | 6345 E Baseline Rd, Mesa, AZ 85206-4900 | 2012-12-13 |
| 1932479946 | Chandler Fairview Partners, LLC | Alzheimer Center (Dementia Center) | 2200 W Fairview St, Chandler, AZ 85224-4709 | 2012-01-06 |
| 1851696934 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 310 S 63rd St, Mesa, AZ 85206-6016 | 2011-01-20 |
| 1528384120 | Mary's Care Home | Alzheimer Center (Dementia Center) | 9288 N Lost Sage Dr, 8746 Stockon Hill Rd #17, Kingman, AZ 86409-9359 | 2010-04-08 |
| 1033440458 | Lake View Terrace Memory Care | Alzheimer Center (Dementia Center) | 320 Lake Havasu Ave N, Lake Havasu City, AZ 86403-4701 | 2010-01-25 |
| 1982931002 | Brea Peoria, LLC | Alzheimer Center (Dementia Center) | 9296 W Union Hills Dr, Peoria, AZ 85382-8158 | 2009-11-10 |
| 1043422801 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2100 S Woodlands Village Blvd, Flagstaff, AZ 86001 | 2007-05-04 |
| 1194947887 | Brea Emeritus LLC | Alzheimer Center (Dementia Center) | 21739 N 151st Ave, Sun City West, AZ 85375-6150 | 2007-05-03 |
| 1154541324 | Phoenix Senior Living LLC | Alzheimer Center (Dementia Center) | 12322 N 13th Avenue, Youngtown, AZ 85363 | 2007-04-27 |
| 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.