SUN GROVE VILLAGE CARE CENTER
NPI 1700823606
Skilled Nursing Facility in Peoria, AZ
NPI Status: Active since May 31, 2006
Contact Information
20625 N LAKE PLEASANT RD
PEORIA, AZ
ZIP 85382
Phone: (623) 566-0642
Fax: (623) 566-1515
- Organization
- Skilled Nursing Facility
- Accepts Insurance
About SUN GROVE VILLAGE CARE CENTER
This page provides the complete NPI Profile along with additional information for Sun Grove Village Care Center, a provider established in Peoria, Arizona operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1700823606 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number OTC-2061 (AZ). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Sun Grove Village Care Center. The authorized official of this NPI record is Cindy S Cross (Assistant Secretary)
- NPI
- 1700823606
- Provider Legal Name
- LIFE CARE CENTERS OF AMERICA, INC.
- Other Organization Name
- SUN GROVE VILLAGE CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 20625 N LAKE PLEASANT RD PEORIA, AZ 85382
- Location Phone
- (623) 566-0642
- Location Fax
- (623) 566-1515
- Mailing Address
- 3001 KEITH ST NW CLEVELAND, TN 37312
- Mailing Phone
- (423) 473-5751
- Mailing Fax
- (623) 566-1515
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2006
- Last Update Date
- 09-15-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- OTC-2061
- License State
- AZ
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 043581 | MEDICAID (05) | AZ |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 8 | 2 | 3 | 6 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 2 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 2 + 6 + 6 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1700823606 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376107904 | LAKE PLEASANT HEALTHCARE, INC. Organization | Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)) | 20625 N LAKE PLEASANT RD PEORIA, AZ 85382 (623) 566-0642 |
| 1083094965 | LAKE PLEASANT HEALTHCARE, INC. Organization | Skilled Nursing Facility | 20625 N LAKE PLEASANT RD PEORIA, AZ 85382 (623) 566-0642 |
| 1720752306 | RAUL ESTUARDO GUERRA OTR/L Individual | Occupational Therapist | 20625 N LAKE PLEASANT RD PEORIA, AZ 85382 (623) 566-0642 |
| 1568791879 | LIFE CARE CENTERS OF AMERICA, INC. Organization | Clinic/Center (Rehabilitation) | 20625 N LAKE PLEASANT RD PEORIA, AZ 85382 (623) 566-0642 |
| 1609153733 | DR. NISARG SHETH MD Individual | Internal Medicine | 20625 N LAKE PLEASANT RD PEORIA, AZ 85382 (480) 981-2700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700823606, enumerated in the NPI registry as an "organization" on May 31, 2006
The provider is located at 20625 N Lake Pleasant Rd Peoria, Az 85382 and the phone number is (623) 566-0642
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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