The Lodge At 14th St., NPI 1083698328
Religious Nonmedical Health Care Institution in Phoenix, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1083698328
NPI Entity Type Organization
Provider Name The Lodge At 14th St.
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2941 N 14th St, Phoenix, AZ, US
Provider Mailing Address 2941 N. 14th St., Phoenix, AZ, US, 850145604
Is Sole Proprietor? No
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Organization Official

Official Name John Garvey
Official Position GENERAL PARTNER
Phone 602-279-1033

Primary Taxonomy

Taxonomy Code

282J00000X

Taxonomy Name Religious Nonmedical Health Care Institution
Classification

Religious Nonmedical Health Care Institution

Group

Hospitals

License No. ALC-4746
License State AZ
Description Furnishes only nonmedical nursing items and services to patients who choose to rely solely upon a religious method of healing, and for whom the acceptance of medical services would be inconsistent with their religious beliefs. Furnishes nonmedical items and services exclusively through nonmedical nursing personnel who are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance in moving, positioning, and ambulation; nutritional needs; and comfort and support measures. Furnishes nonmedical items and services to inpatients on a 24-hour basis. Does not furnish, on the basis of religious beliefs, through its personnel or otherwise, medical items and services (including any medical screening, examination, diagnosis, prognosis, treatment, or the administration of drugs) for its patients.

Other Organization Name

crystal lodge investors
Former Legal Business Name

Business Address

The Lodge At 14th St.
2941 N 14th St

Phoenix, AZ, US

Phone: 602-279-1033
Fax: 602-277-5604

Mailing Address

The Lodge At 14th St.
2941 N. 14th St.
Phoenix, AZ, US
ZIP 850145604
Phone: 602-279-1033
Fax: 602-277-5367

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261Q00000X

Ambulatory Health Care Facilities

Clinic/Center

ALC 4746 AZ No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
629256 AZ MEDICAID 05
629-256 AZ MEDICAID 05

Other Providers in AZ, US

NPI Name Taxonomy Address

1659836476

Kerri Hohn

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M.A., N.C.C., L.P.C Robert Dale Labrum

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DR. M.D. Vincent Paul Goux

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Organization

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Organization

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1376270470

MR. MA, LISAC Woodrow Eugene Miller III

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Buckeye, AZ

1861960486

Christina Fitzpatrick

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PA-C Abigail Jane Higgins

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Family Medicine Physician

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1154088532

RN Abbigael Naomi Simpson

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1707 W Saint Marys Rd

Tucson, AZ

1508581976

Rehema Outpatient Treatment Center Llc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

1968a N Peart Rd Ste 3

Casa Grande, AZ

1083339451

MRS. LCSW Colette Reon Hardesty-tesar X

Individual

Clinical Social Worker

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Tucson, AZ

1821594557

MD Xiao Kristin Liang

Individual

Family Medicine Physician

7301 E 2nd St Ste 210

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RD Haley Dawn Smith

Individual

Registered Dietitian

1200 N Beaver St

Flagstaff, AZ

1851852834

MD Nicole Marie Casey

Individual

Family Medicine Physician

3003 N 3rd St

Phoenix, AZ

1669120499

Julie Ann Roberts

Individual

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335 N Alma School Rd

Chandler, AZ

1316335383

MOT OTR/L, BCP, CIMI Victoria Wicus

Individual

Occupational Therapist

4525 E Le Marche Ave

Phoenix, AZ

1134849490

LCSW Taylor Redding

Individual

Clinical Social Worker

3656 W Scavenger Dr

Marana, AZ

1043575483

Sierra Vista Regional Health Center Medical Group Llc

Organization

Family Medicine Physician

5750 E Highway 90

Suite 200

Sierra Vista, AZ

1447975800

PT Catherine Broadbent

Individual

Physical Therapist

23374 W Yuma Rd Ste 104

Buckeye, AZ

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