Healthcare Provider Details

I. General information

NPI: 1346917333
Provider Name (Legal Business Name): FFI FOUNTAIN VIEW SNF TENANT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16455 E AVENUE OF THE FOUNTAINS
FOUNTAIN HILLS AZ
85268-8307
US

IV. Provider business mailing address

16455 E AVENUE OF THE FOUNTAINS
FOUNTAIN HILLS AZ
85268-8307
US

V. Phone/Fax

Practice location:
  • Phone: 480-836-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ANDREASEN
Title or Position: SENIOR VICE PRESIDENT, MANAGER
Credential:
Phone: 515-875-4500