Az Advanced Care LLC
West Lane Home · Custodial Care Facility (Adult Care Home)

Address: 3137 W Lane Ave, Phoenix, AZ 85051-6522
Phone: 6023320780

Az Advanced Care LLC (NPI# 1447645833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1447645833
Entity Type Organization
Organization Name AZ ADVANCED CARE LLC
Other Organization Name WEST LANE HOME
Practice Address 3137 W Lane Ave
Phoenix
AZ 85051-6522
Practice Telephone 6023320780
Practice Fax Number 8775172224
Mailing Address 3137 W Lane Ave
Phoenix
AZ 85051-6522
Mailing Telephone 6023320780
Mailing Fax Number 8775172224
Authorized Official Name Rebecca T. Siddiqui (ADMINISTRATOR)
Authorized Official Telephone 6023320780
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2015-04-02
Last Update Date 2015-04-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 311ZA0620X Custodial Care Facility · Adult Care Home Nursing & Custodial Care Facilities AL9510H AZ

Other Provider Identifier

State Identifier Issuer Type Code
AZ 963085 MEDICAID

Other Provider/Organization Names

Other Name Type Code
West Lane Home Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932725835 Oasis Group Home LLC Custodial Care Facility 2206 W. Spur Dr., Phoenix, AZ 85085-5752 2020-06-17
1770125403 Desert Gem Assisted Living Facility, LLC Custodial Care Facility 3236 W. Eugie Avenue, Phoenix, AZ 85029 2019-10-15
1124679931 Lovin Touch LLC Custodial Care Facility 4130 W Northern Ave, Phoenix, AZ 85051-5765 2019-09-23
1164070819 Love Shines Behavioral Health Homes LLC Custodial Care Facility 16401 N 39th Pl, Phoenix, AZ 85032-3246 2019-08-27
1386147262 Desert View Assisted Living Custodial Care Facility 9401 N 36 Ave, Phoenix, AZ 85051-3305 2018-03-16
1699289215 Desert Springs Care Home L.l.c. Custodial Care Facility 3445 W Acoma Dr, Phoenix, AZ 85053-5620 2017-11-17
1750817763 Flerida Cabatic Custodial Care Facility 27413 N 23rd Dr, Phoenix, AZ 85085-4708 2017-05-11
1679947238 Garcia's Assisted Living Home LLC Custodial Care Facility 2742 E Pueblo Avenue, Phoenix, AZ 85040 2015-11-19
1447643069 Caring Haven Homes LLC Custodial Care Facility 420 W Sequoia Dr, Phoenix, AZ 85027-4727 2015-03-05
1346645702 Rebecca Siddiqui Custodial Care Facility 4113 W Hayward Ave, Phoenix, AZ 85051-5751 2014-10-28
Find all providers in PHOENIX

Office Location

Street Address 3137 W LANE AVE
City PHOENIX
State AZ
Zip Code 85051-6522

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184250383 Jhajaira Elizabeth Cadenas Optometrist 3937 W Northview Ave, Phoenix, AZ 85051 2020-03-19
1083270854 Vision With Wings Voluntary or Charitable 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 2019-05-16
1417510405 Applied Behavioral Interventions Pllc Dietitian, Registered 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 2019-04-16
1558832683 Liberty Home LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 9649 N 36th Ave, Phoenix, AZ 85051 2018-12-16
1518459080 Addie Robin Diroberts Counselor 10240 W. 31st Ave, Phoenix, AZ 85051 2018-05-31
1093239816 Jason Allan Parker Licensed Practical Nurse 3310 West Cheryl Drive, Phoenix, AZ 85051 2017-08-02
1588019145 Vanessa Eloise Hernandez Counselor 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 2016-05-02
1912230178 Mozelle Barr Martin Counselor 3734 W. Vista Ave., Phoenix, AZ 85051 2009-09-04
1316184542 Tom Sowash Od & Associates PC Optometrist 9617 North Parkway West, #1160, Phoenix, AZ 85051 2009-01-09
1609026913 Luma Z Sayegh Dentist 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 2008-09-23
Find all providers in zip 85051

Competitor

Search similar providers

City PHOENIX
Zip Code 85051

Improve Information

Please comment or provide details below to improve the information on Az Advanced Care LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.