Organization · Type 2 NPI

Extended Care Portfolio Multistate Pool Tenant LLC

Alzheimer Center (Dementia Center) · Phoenix, AZ

NPI number 1265832299 Active

Practice location

16621 N 38th St
Phoenix, AZ 85032-2102

Fax (602) 787-0531

Mailing address

1775 Hancock St Ste 200
San Diego, CA 92110-2036

Specialties and licenses

TaxonomyCodeLicense
Alzheimer Center (Dementia Center) Primary 311500000XAL6981C (AZ)

Alzheimer Center (Dementia Center): A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; …

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About NPI 1265832299

Extended Care Portfolio Multistate Pool Tenant LLC's National Provider Identifier is 1265832299, issued on Aug 27, 2014. The primary taxonomy on file is Alzheimer Center (Dementia Center) (311500000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 12, 2025.