Agua Fria Senior Living, Llc, NPI 1912536368
Assisted Living Facility in Peoria, AZ, US
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 | 1912536368 |
| NPI Entity Type | Organization |
| Provider Name | Agua Fria Senior Living, Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 8880 N 107th Ave, Peoria, AZ, US |
| Provider Mailing Address | 14650 N 78th Way Ste B, Scottsdale, AZ, US, 852602970 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Douglas Hamilton |
| Official Position | MANAGING MEMBER |
| Phone | 480-368-5755 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Assisted Living Facility |
| Classification | |
| Group | |
| Description | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 527346 | AZ | MEDICAID | 05 |
| AL10709C | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES | 01 |
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