# HEARTHSTONE HOSPITAL - SUN CITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trillium Specialty Hospital - West Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578690988
- **Authorized official:** MR. GLENN DE SOUZA (CEO)
- **Authorized official phone:** (480) 945-7711

## Contact information

- **Practice address:** 13818 N THUNDERBIRD BLVD, SUN CITY, AZ 85351-2574
- **Practice address phone:** (480) 945-7711
- **Practice address fax:** (480) 945-8266
- **Mailing address:** 4440 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-3513
- **Mailing address phone:** (480) 945-7711
- **Mailing address fax:** (480) 945-8266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | SH 4387 | AZ | — |
| 282N00000X | General Acute Care Hospital | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 09/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03-2008 | MEDICARE | AZ |
| 01 | — | 035128 | MEDICARE | AZ |
| 05 | — | 363685 | — | AZ |
| 05 | — | 645905 | — | AZ |