Lsref Golden Ops Ue (Az), LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LSREF GOLDEN OPS UE (AZ), LLC

Practice address

18170 N 91St Ave
Peoria, AZ 85382-0866

Phone

(623) 974-5848

NPI assigned

Feb 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wick Peterson

Title

VP

Phone

(858) 436-7662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amethyst Gardens Assisted Living Doing business as

Tax ID family

Amethyst Gardens Assisted Living2 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.

• Lsref Golden Ops Ue (Az), LLC

  • Assisted Living Facility
  • Peoria, AZ
  • NPI 1184947418
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1295057339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STEVENS AVE",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18170 N 91ST AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853820866",
            "telephone_number": "623-974-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSREF GOLDEN OPS UE (AZ), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WICK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "858-436-7662"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418044",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amethyst Gardens Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loving Hands LLC
• Cynthia Lowe
• Rosabel Loya, DPM
• LRF Holdings LLC
• Lsref Golden Ops Ue (Az), LLC
• Steven Lu, PA-C
• Robert Philip Luberto, DO
• Katie Lucero, PA-C
• Luna Anesthesia LLC
• Kenneth David Lundeen, P.T.

• Assisted Living Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.