Organization Active NPI

Friendship Retirement Corporation

Doing business as Glencroft Care Center

  • Skilled Nursing Facility
  • Glendale, AZ
National Provider Identifier
1023007515
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCI-334 Issued in AZ
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

Updated by the provider on Jul 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
040410MedicaidAZ

Other names 1

  • Glencroft Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 AcuteCCN 035154 ยท All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 5, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
225107.8 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Friendship Manor I and II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
John J Thorhauer Individual Corporate OfficerChief Executive Officer Sep 1, 2021
Bendu Sanoh Individual Operational/Managerial ControlAdministrator Nov 12, 2021 100%
Dyan Bymark Individual Corporate DirectorBoard Member May 18, 2021
Michael McCammond Individual Corporate OfficerChief Administrative Officer Jul 29, 2013 15%
Flyod Whittaker Individual Corporate DirectorBoard Member Apr 26, 2022
Catherine Eckstein Individual Corporate DirectorBoard Member Mar 23, 2021
Scott McClintock Individual Corporate OfficerChief Health Officer Dec 1, 2015 85%
Jacquelyn Smith Individual Corporate DirectorBoard Member Jan 22, 2019
John Gould Individual Corporate DirectorBoard Member May 19, 2020
Peter P Patterson Individual Corporate DirectorBoard Member Jul 31, 2018
Ashley Iverson Individual Corporate DirectorBoard Member May 19, 2020
Stephen Koch Individual Corporate DirectorBoard Member Jan 22, 2019
Brian Hollrah Individual Corporate DirectorBoard Member 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.

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

Verify at the official NPI Registry.