EMERITUS PROPERTIES NGH, LLC
Alzheimer Center
Glendale, Arizona
Provider NPI: 1700901501
Organization Information:Organization Name: EMERITUS PROPERTIES NGH, LLC
Practice Location:
5861 W BEVERLY LN GLENDALE, AZ 85306 US
Tel: 602-938-7166 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5861 W BEVERLY LN GLENDALE, AZ 85306 US
Tel: 602-938-7166 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | AZ | ALC-4038 |
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AZ | ALC-4038 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
700096 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin