Organization · Type 2 NPI

Five Star Desert Harbor LLC

Skilled Nursing Facility · Peoria, AZ

NPI number 1528023033 Active

Practice location

13840 N Desert Harbor Dr
Peoria, AZ 85381-3501

Fax (623) 977-5271

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NCI-421 (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…

2 other providers at this address

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NPI record

NPI: 1528023033
Entity type: Organization (Type 2)
Issued: Apr 18, 2006
Last updated: Mar 28, 2019
Status: Active
Subpart: Yes of Five Star Desert Harbor LLC

Other names

<unavail>
The Forum at Desert Harbor · doing business as
The Forum at Desert Harbor · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

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About NPI 1528023033

Five Star Desert Harbor LLC's National Provider Identifier is 1528023033, issued on Apr 18, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Peoria, AZ. The record was last updated on Mar 28, 2019.