Florence LTC, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FLORENCE LTC, LLC

Practice address

450 West Adamsville Road
Florence, AZ 85232

Phone

(520) 975-9151

NPI assigned

Nov 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Fred Randolph, M.A.

Title

Administrator

Phone

(520) 975-9151

Specialties & licenses 1

Addresses

Other names 1

• Florence Community Nursing & Rehab Doing business as

Tax ID family

Florence Adamsville Hospital LLC2 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.

• Florence Adamsville Hospital, LLC.

  • Rural Acute Care Hospital
  • Florence, AZ
  • NPI 1861749111
  NPD tax ID

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1942537154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WEST ADAMSVILLE ROAD",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WEST ADAMSVILLE ROAD",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85232",
            "telephone_number": "520-975-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-975-9151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Community Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florence Adamsville Hospital, LLC.
• Florence Dental PLLC
• Florence Drug
• Florence Hospital LLC
• Florence Hospital, LLC
• Florence Unified School District
• Florence Unified School District #1
• Flowing Spring Behavioral Home Health
• Jason Robert Frizzell, PH.D.
• Katherine Gastelum

• All providers in Florence, AZ
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.