Skip to content

Lifestream Complete Senior Living at Northeast Phoenix, Inc.

NPI 1144763731ActiveOrganization· Skilled Nursing Facility· Phoenix, AZ

Skilled Nursing Facility in Phoenix, Arizona, registered in NPPES in November 2016. The authorized official on file is Donna Taylor, Executive Vice President/Coo.

Overview

NPI1144763731
StatusActive
Entity typeOrganization
NPI issuedNov 30, 2016
Last updated in NPPESNov 30, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Skilled Nursing Facility providers in Phoenix

All Skilled Nursing Facility providers in Arizona →