NPIMap

Organization Active NPI

State of Arizona/State Dept of Finance

  • Skilled Nursing Facility
  • Yuma, AZ
National Provider Identifier
1467170282
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STATE OF ARIZONA/STATE DEPT OF FINANCE
Practice address
6051 E 34TH St
Yuma, AZ 85365-4889
Phone
(928) 247-8303
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Laurie A Chapman
Title
Central Biller
Phone
(480) 318-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6051 E 34TH St
Yuma, AZ 85365-4889

Mailing address

6051 E 34TH St
Yuma, AZ 85365-4889
Phone (928) 247-8303

Other names 1

  • Arizona State Veteran Home Yuma Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230316002604 AZ Part A Provider - Skilled Nursing Facility 5991699647 Practice locations: Yuma, AZ

Skilled nursing facility certification: CCN 035303

Legal name
ARIZONA DEPARTMENT OF VETERANS SERVICES
Doing business as
STATE OF ARIZONA/STATE DEPT OF FINANCE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 22, 2023
Last certification
Sep 20, 2024
Beds
80
Ownership / control type
State
Organization structure
OtherNon-profit
Incorporated
Oct 3, 2022 in AZ
Enrollment address
6051 E 34TH St
Yuma, AZ 85365-4889
Nursing home name
ARIZONA STATE VETERAN HOME - YUMA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arizona State Veteran Home - YumaCCN 035303
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Jun 22, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8073.0 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2267803Arizona State Veteran Home - Yuma6051 E 34TH St, Yuma, AZ 85365Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Arizona Training Program - Pinchot32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

Bldg 66
Rm 327
Flagstaff, AZ 86011
Phone (520) 523-8110

4141 S Herrera Way
Phoenix, AZ 85012
Phone (602) 248-1550

701 E Jefferson St
#5100
Phoenix, AZ 85034
Phone (850) 309-0631

250 N 17th Ave
Phoenix, AZ 85007
Phone (602) 364-1409

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laurie Chapman Individual Operational/Managerial Control Oct 9, 2012 1%
Arizona Department of Veterans Services Organization, Phoenix, AZ Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Oct 3, 2022 5%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arizona State HospitalPhoenix, AZ, CCN 034021 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1966
Arizona State Veteran Home - TucsonTucson, AZ, CCN 035284 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jan 31, 2011
Arizona Department of Veteran ServicesPhoenix, AZ, CCN 035234 Skilled nursing facility Other (100%) Nov 1, 1995

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1467170282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 E 34TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853654889",
            "telephone_number": "928-247-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 E 34TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853654889",
            "telephone_number": "928-247-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARIZONA/STATE DEPT OF FINANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CENTRAL BILLER",
        "authorized_official_telephone_number": "480-318-0920"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona State Veteran Home Yuma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.