# LA LOMA SENIOR LIVING SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** La Loma Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477603363
- **Authorized official:** KIMBERLEY JANE THOMPSON (CHIEF EXPERIENCE OFFICER)
- **Authorized official phone:** (313) 530-7340

## Contact information

- **Practice address:** 14260 DENNY BLVD, LITCHFIELD PARK, AZ 85340-9448
- **Practice address phone:** (623) 537-7400
- **Practice address fax:** (623) 537-7480
- **Mailing address:** 14719 W GRAND AVE, SURPRISE, AZ 85374-7203
- **Mailing address phone:** (623) 777-2631
- **Mailing address fax:** (623) 777-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-2654 | AZ | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 05/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0440830 | BCBS OF AZ PROVIDER NUMBE | AZ |