# HEARTHSTONE HOSPITAL SUN CITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRILLIUM SPECIALTY HOSPITAL WEST VALLEY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629066550
- **Authorized official:** MRS. BARBARA ANN BYRUM (DIRECTOR OF FINANCIAL SERVICES)
- **Authorized official phone:** (480) 329-2877

## Contact information

- **Practice address:** 13818 N THUNDERBIRD BLVD, SUN CITY, AZ 85351-2574
- **Practice address phone:** (623) 977-1325
- **Practice address fax:** (623) 974-3984
- **Mailing address:** 13818 N THUNDERBIRD BLVD, SUN CITY, AZ 85351-2574
- **Mailing address phone:** (623) 977-1325
- **Mailing address fax:** (623) 974-3984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI 384 | AZ | — |
| 314000000X | Skilled Nursing Facility | SH 4387 | AZ | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 08/26/2009

## Other identifiers

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