Active NPI
Desert Cove Healthcare, Inc.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Scottsdale, AZ
National Provider Identifier
1245827005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- DESERT COVE HEALTHCARE, INC.
- Practice address
- 11150 N 92ND St
Scottsdale, AZ 85260-6150 - Phone
- (480) 860-1766
- NPI assigned
- Dec 28, 2020
- 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
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
11150 N 92ND St
Scottsdale, AZ 85260-6150
Mailing address
11150 N 92ND St
Scottsdale, AZ 85260-6150
Phone (480) 860-1766
Other names 1
- Shea Post Acute Rehabilitation Center
National Provider Directory
National Provider Directory- Tax ID family
- Desert Cove Healthcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Scottsdale, AZ
- NPI 1750758769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609113600000",
"number": "1245827005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11150 N 92ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606150",
"telephone_number": "480-860-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11150 N 92ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606150",
"telephone_number": "480-860-1766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT COVE HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-28",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A",
"authorized_official_last_name": "BURNAM",
"authorized_official_first_name": "SOON",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "949-540-1249"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shea Post Acute Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scottsdale, AZ
- Desert Anesthesia PLLC
- Desert Breeze Family Dental
- Desert Canyon Dentistry PLLC
- Desert Canyon Internal Medicine PLLC
- Desert Canyon Surgery Center LLC
- Desert Cove Healthcare, Inc.
- Desert Cove Recovery Center L.L.C.
- Desert Dental Solutions
- Desert Diagnostic Health Services
- Desert Durable Medical Equipment PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.