Organization · Type 2 NPI

Lifestream Complete Senior Living, Inc.

Skilled Nursing Facility · Youngtown, AZ

NPI number 1043753635 Active

Practice location

11527 W. Peoria Avenue, Suite 500
Youngtown, AZ 85363

Call (623) 972-2371 Map

Fax (623) 972-7320

Mailing address

11555 W. Peoria Avenue
Youngtown, AZ 85363

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

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 r…

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NPI record

NPI: 1043753635
Entity type: Organization (Type 2)
Issued: Nov 30, 2016
Last updated: Nov 30, 2016
Status: Active

Other names

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Lifestream Complete Senior Living at Cook Health Care Suite 500 Assist · doing business as

Authorized official

Donna Taylor
Executive Vice President/coo
(623) 933-3333

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043753635

Lifestream Complete Senior Living, Inc.'s National Provider Identifier is 1043753635, issued on Nov 30, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Youngtown, AZ. The record was last updated on Nov 30, 2016.