15810 South 42nd Street Operations LLC
NPI 1184105850ActiveOrganization· Skilled Nursing Facility· Phoenix, AZ
Skilled Nursing Facility in Phoenix, Arizona, registered in NPPES in August 2018. The authorized official on file is Michael Berg, Assistant Secretary.
Overview
| NPI | 1184105850 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2018 |
| Last updated in NPPES | Aug 22, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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