LOOKOUT MOUNTAIN HEALTHCARE, INC. (NPI# 1841844784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841844784 |
| Entity Type | Organization |
| Organization Name | LOOKOUT MOUNTAIN HEALTHCARE, INC. |
| Practice Address |
13232 N Tatum Blvd Phoenix AZ 85032-6459 |
| Practice Telephone | 6029965200 |
| Practice Fax Number | 6029966160 |
| Mailing Telephone | 6029965200 |
| Mailing Fax Number | 6029966160 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Authorized Official Name | SOON BURNAM (TREASURER) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Phoenix Mountain Post Acute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427516582 | Lookout Mountain Healthcare, Inc. | Skilled Nursing Facility | 13232 N Tatum Blvd, Phoenix, AZ 85032-6459 | 2019-03-07 |
| Street Address |
13232 N TATUM BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-6459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980972 | Westcare Inc | Skilled Nursing Facility | 13232 N Tatum Blvd, Phoenix, AZ 85032-6459 | 2005-08-24 |
| 1427516582 | Lookout Mountain Healthcare, Inc. | Skilled Nursing Facility | 13232 N Tatum Blvd, Phoenix, AZ 85032-6459 | 2019-03-07 |
| 1780858522 | Phoenix Mountain Nursing Center, Inc. | Skilled Nursing Facility | 13232 N Tatum Blvd, Phoenix, AZ 85032-6459 | 2008-04-14 |
| 1003847054 | Glenda Weisman | Internal Medicine | 13232 N Tatum Blvd, Phoenix, AZ 85032-6459 | 2006-07-06 |
| 1902899933 | Phoenix Mountain Nursing Center Inc | Skilled Nursing Facility | 13232 N Tatum Blvd, Phoenix, AZ 85032-6459 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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|---|---|---|---|---|
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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.