15810 SOUTH 42ND STREET OPERATIONS LLC (NPI# 1184105850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184105850 |
| Entity Type | Organization |
| Organization Name | 15810 SOUTH 42ND STREET OPERATIONS LLC |
| Other Organization Name | LA ESTANCIA NURSING AND REHABILITATION CENTER |
| Practice Address |
15810 S 42nd St Phoenix AZ 85048-7409 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 4807590358 |
| Mailing Telephone | 6109252254 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | MICHAEL BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 6109252254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| La Estancia Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
15810 S 42ND ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-7409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437107281 | Evergreen At Foothills, L.L.C. | Skilled Nursing Facility | 15810 S 42nd St, Phoenix, AZ 85048-7409 | 2006-05-04 |
| 1790328052 | Stephanie Lorraine Smith | Occupational Therapist | 15810 S 42nd St, Phoenix, AZ 85048-7409 | 2019-10-18 |
| 1780142034 | Peter Lux, Md, Pllc | Physical Medicine & Rehabilitation | 15810 S 42nd St, Phoenix, AZ 85048-7409 | 2019-03-06 |
| 1205303484 | Holly Ann Ankrom | Physical Therapy Assistant | 15810 S 42nd St, Phoenix, AZ 85048-7409 | 2018-10-25 |
| 1508333840 | Cari Lynn Evanega | Physical Therapy Assistant | 15810 S 42nd St, Phoenix, AZ 85048-7409 | 2018-10-25 |
| 1124594031 | Karrrie Kuecker | Speech-Language Pathologist | 15810 S 42nd St, Phoenix, AZ 85048-7409 | 2018-10-17 |
| 1821040056 | Peter M Lux | Physical Medicine & Rehabilitation | 15810 S 42nd St, Phoenix, AZ 85048-7409 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in PHOENIX | ||||
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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.