State of Arizona State Dept of Finance
NPI 1013009745ActiveOrganization· Skilled Nursing Facility· Phoenix, AZ
Skilled Nursing Facility in Phoenix, Arizona, registered in NPPES in September 2006. The authorized official on file is James Ross, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1013009745 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2006 |
| Last updated in NPPES | Mar 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | NCI-447 | AZ |
| Skilled Nursing Facility | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (AZ) |
|---|
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