Life Care Centers of America, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-330 Issued in AZ

Legal business name

LIFE CARE CENTERS OF AMERICA, INC.

Doing business as

Glendale Care Center

Practice address

4704 W Diana Ave
Glendale, AZ 85302-5125

Phone

(623) 247-3949

Fax

(623) 930-1104

NPI assigned

May 31, 2006

Last updated

Sep 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy S Cross

Title

Assistant Secretary

Phone

(423) 473-5867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glendale Care Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Life Care Centers of America, Inc.

  dba Life Care Center of Cleveland

  • Skilled Nursing Facility
  • Cleveland, TN
  • NPI 1083656615

  Member Of

  NPD member

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1528005501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-473-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 W DIANA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025125",
            "telephone_number": "623-247-3949",
            "fax_number": "623-930-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE CENTERS OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035340",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence Duane Lheureux, MD
• Yiwei Li
• Grace Liao
• Elliot Martin Libling, MD
• Nicole Lichter, PT, DPT
• Life Healing Center
• Lifeful Aging, LLC
• Lifeline Professional Counseling Services, Inc (Lifeline West)
• Lifes Journey LLC
• Lifestream Complete Senior Living at Thunderbird Inc (LifeStream at Thunderbird)

• Skilled Nursing Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.