LIFESTREAM AT NORTHEAST PHOENIX GREEN HOUSE 85 – NPI #1508309196
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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

LIFESTREAM AT NORTHEAST PHOENIX GREEN HOUSE 85 is a skilled nursing facility (SNF) located in PHOENIX, AZ. NPPES has assigned the NPI number 1508309196 to LIFESTREAM AT NORTHEAST PHOENIX GREEN HOUSE 85 on November 30, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIFESTREAM AT NORTHEAST PHOENIX GREEN HOUSE 85” is a dba name, the actual legal business name for this organization is LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC.. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFESTREAM AT NORTHEAST PHOENIX GREEN HOUSE 85 below.

NPI Profile for
LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC.

NPI Number
1508309196
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC.
Doing Business As (dba): LIFESTREAM AT NORTHEAST PHOENIX GREEN HOUSE 85
Primary location
20802 N. CAVE CREEK ROAD
BUILDING 85
PHOENIX, AZ 85024
Phone: (602) 569-0508 Fax: (602) 569-0301
Mailing address
11555 W. PEORIA AVENUE
YOUNGTOWN, AZ 85363
Phone: (623) 933-3333 Fax: (623) 972-7320
Organization Subpart
No
Authorized Official
DONNA TAYLOR
EXECUTIVE VICE PRESIDENT/COO
Phone: (623) 933-3333
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.