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Organization
HEARTHSTONE HOSPITAL - SUN CITY, LLC
Active
Organization
HEARTHSTONE HOSPITAL - SUN CITY, LLC
Active
Other names
Trillium Specialty Hospital - West Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN DE SOUZA (CEO)
(480) 945-7711
Entity
Organization
Contact information
Practice address
13818 N THUNDERBIRD BLVD, SUN CITY, AZ 85351-2574
(480) 945-7711
(480) 945-8266
Mailing address
4440 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-3513
(480) 945-7711
(480) 945-8266
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
SH 4387
AZ
282N00000X
General Acute Care Hospital
—
NULL
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-2008
MEDICARE
AZ
01
—
035128
MEDICARE
AZ
05
—
363685
—
AZ
05
—
645905
—
AZ
Enumeration date
02/27/2007
Last updated
09/01/2009
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