LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC. (NPI# 1326592825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326592825 |
| Entity Type | Organization |
| Organization Name | LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC. |
| Other Organization Name | LIFESTREAM AT NORTHEAST PHOENIX GREEN HOUSE 86 |
| Practice Address |
20802 N. Cave Creek Road Building 86 Phoenix AZ 85024 |
| Mailing Address |
11555 W. Peoria Avenue Youngtown AZ 85363 |
| Practice Telephone | 6025690508 |
| Practice Fax Number | 6025690301 |
| Mailing Telephone | 6239333333 |
| Mailing Fax Number | 6239727320 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | DONNA TAYLOR (EXECUTIVE VICE PRESIDENT/COO) |
| Authorized Official Telephone | 6239333333 |
| 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 |
|---|---|
| LifeStream at Northeast Phoenix Green House 86 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508309196 | Lifestream Complete Senior Living At Northeast Phoenix, Inc. | Skilled Nursing Facility | 20802 N. Cave Creek Road, Building 85, Phoenix, AZ 85024 | 2016-11-30 |
| 1144763731 | Lifestream Complete Senior Living At Northeast Phoenix, Inc. | Skilled Nursing Facility | 20802 N. Cave Creek Road, Building 84, Phoenix, AZ 85024 | 2016-11-30 |
| Street Address |
20802 N. CAVE CREEK ROAD BUILDING 86 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508309196 | Lifestream Complete Senior Living At Northeast Phoenix, Inc. | Skilled Nursing Facility | 20802 N. Cave Creek Road, Building 85, Phoenix, AZ 85024 | 2016-11-30 |
| 1144763731 | Lifestream Complete Senior Living At Northeast Phoenix, Inc. | Skilled Nursing Facility | 20802 N. Cave Creek Road, Building 84, Phoenix, AZ 85024 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701960 | Milena Jovanovic | Assisted Living Facility | 20652 N. 16th Way, Phoenix, AZ 85024 | 2017-06-28 |
| 1174926034 | Audrey Gale | Physician Assistant | 19401 N Cave Creek Rd Ste 18, Phoenix, AZ 85024 | 2014-10-06 |
| 1760891972 | Automotive Personnel Network LLC | Case Management | 20827 N Cave Creek Road, Suite103, Phoenix, AZ 85024 | 2014-08-13 |
| 1437571551 | Topical Solutions Pharmacy | Pharmacy | 20622 N Cave Creek Rd Ste C-121, Phoenix, AZ 85024 | 2014-01-08 |
| 1720319494 | Brooke Joanne Adams | Pharmacist | 20441 N 10th St, Phoenix, AZ 85024 | 2010-01-20 |
| 1558596437 | Accurate Care Chiropractic & Acupuncture PC | Chiropractor | 20235 N Cave Creek Road, Suite 110, Phoenix, AZ 85024 | 2009-05-21 |
| 1144348111 | Adam's House Inc | Home Health | 20625 N 8th St, Phoenix, AZ 85024 | 2007-03-27 |
| 1518085828 | Marisa Rubio Ellis | Dentist | 822 East Union Hills Dr, Ste D6, Phoenix, AZ 85024 | 2007-03-26 |
| 1891888483 | Lc Global Company Incorporated | Durable Medical Equipment & Medical Supplies | 20021 N. Cavecreek Rd, Unit#7, Phoenix, AZ 85024 | 2006-10-02 |
| 1548203888 | North Valley Orthopedic Surgery Center LLC | Clinic/Center | 2262 E. Rose Garden Lane, Phoenix, AZ 85024 | 2006-06-14 |
| Find all providers in zip 85024 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1437107281 | Evergreen At Foothills, L.L.C. | Skilled Nursing Facility | 15810 S 42nd St, Phoenix, AZ 85048-7409 | 2006-05-04 |
| 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.