Organization · Type 2 NPI

Azore Ii, LLC

Skilled Nursing Facility · Phoenix, AZ

NPI number 1124064605 Active

Practice location

6246 N 19th Ave
Phoenix, AZ 85015-1511

Call (602) 433-6300 Map

Fax (602) 433-6458

Mailing address

1077 Gateway Loop
Springfield, OR 97477-1114

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NCI2661 (AZ)

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…

7 other providers at this address

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NPI record

NPI: 1124064605
Entity type: Organization (Type 2)
Issued: Jun 21, 2006
Last updated: Feb 23, 2015
Status: Active
Subpart: Yes of Pinnacle Healthcare, Inc.

Other names

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Chris Ridge Premier Care & Rehabilitation Center · doing business as

Authorized official

Mr. Mark Garber
Chief Financial Officer
(541) 746-1020

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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 1124064605

Azore Ii, LLC's National Provider Identifier is 1124064605, issued on Jun 21, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 23, 2015.