24th Street Healthcare Associates LLC
NPI 1760477541ActiveOrganization· Skilled Nursing Facility· Phoenix, AZ
Skilled Nursing Facility in Phoenix, Arizona, registered in NPPES in September 2005. The authorized official on file is Soon Burnam, Authorized Agent. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1760477541 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2005 |
| Last updated in NPPES | Feb 16, 2021 |
| Certified by provider | Feb 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | AZ |
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) | Enrolled Part A Provider - Skilled Nursing Facility (AZ) |
|---|
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