Living Hope Community Care Centers LLC
Custodial Care Facility in San Tan Valley, AZ. Organization (NPI-2).
NPI number1891240107
StatusActive
Last updated in NPPESOct 5, 2016
Details
- NPI
- 1891240107
- Entity type
- Organization (NPI-2)
- Legal business name
- Living Hope Community Care Centers LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 17, 2016
- Last updated
- Oct 5, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311Z00000X | Custodial Care Facility | – | – | Yes |
Other names
- Elizabeth House, LLC. (Former Legal Business Name)
Practice location
3026 E San Manuel RdSan Tan Valley, AZ 85143-4536
Phone 480-712-6170
Mailing address
Po Box 9598Chandler Heights, AZ 85127-9598
Authorized official
Chad Roche
Ceo
4807126170
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