Active NPI
Friendship Retirement Corporation
Doing business as Glencroft Care Center
- Skilled Nursing Facility
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCI-334
- Legal business name
- FRIENDSHIP RETIREMENT CORPORATION
- Doing business as
- Glencroft Care Center
- Practice address
- 8641 N 67TH Ave
Glendale, AZ 85302-4308 - Phone
- (623) 939-9475
- NPI assigned
- Oct 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan M Hornbostel
- Title
- Vice President of Finance/Cfo
- Phone
- (623) 847-3006
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NCI-334 | AZ | Primary |
| Skilled Nursing Facility | 314000000X | OTC-2874 | AZ |
Addresses
Primary practice location
8641 N 67TH Ave
Glendale, AZ 85302-4308
Mailing address
8611 N 67TH Ave
Glendale, AZ 85302-4351
Phone (623) 939-9475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040410 | Medicaid | AZ |
Other names 1
- Glencroft Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090922000144 | AZ | Part A Provider - Skilled Nursing Facility | 6103972864 | Practice locations: Glendale, AZ |
Skilled nursing facility certification: CCN 035154
- Legal name
- FRIENDSHIP RETIREMENT CORPORATION
- Doing business as
- PROVIDENCE PLACE AT GLENCROFT
- Certification status
- Active
- Provider type (POS)
- Nursing home โ SNF/NF dual certification
- Participating since
- Apr 5, 1988
- Last certification
- May 9, 2025
- Beds
- 225
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 31, 1970 in AZ
- Enrollment address
- 8641 N 67TH Ave
Glendale, AZ 85302-4308 - Nursing home name
- PROVIDENCE PLACE AT GLENCROFT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Agave Grove Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 5, 1988
- Medicare certification status
- Active
- Certified beds
- 225
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
National Provider Directory
National Provider Directory- Tax ID family
- Friendship Manor I and II
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Glendale, AZ
- NPI 1013180694
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| John J Thorhauer | Corporate Officer | Sep 1, 2021 | |
| Bendu Sanoh | Operational/Managerial Control | Nov 12, 2021 | 100% |
| Dyan Bymark | Corporate Director | May 18, 2021 | |
| Michael McCammond | Corporate Officer | Jul 29, 2013 | 15% |
| Flyod Whittaker | Corporate Director | Apr 26, 2022 | |
| Catherine Eckstein | Corporate Director | Mar 23, 2021 | |
| Scott McClintock | Corporate Officer | Dec 1, 2015 | 85% |
| Jacquelyn Smith | Corporate Director | Jan 22, 2019 | |
| John Gould | Corporate Director | May 19, 2020 | |
| Peter P Patterson | Corporate Director | Jul 31, 2018 | |
| Ashley Iverson | Corporate Director | May 19, 2020 | |
| Stephen Koch | Corporate Director | Jan 22, 2019 | |
| Brian Hollrah | Corporate Director | Jul 27, 2021 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1376536193
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1023007515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8611 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024351",
"telephone_number": "623-939-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8641 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024308",
"telephone_number": "623-939-9475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDSHIP RETIREMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-17",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "HORNBOSTEL",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE/CFO",
"authorized_official_telephone_number": "623-847-3006",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AZ",
"license": "NCI-334",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AZ",
"license": "OTC-2874",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040410",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Glencroft Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.