Long-Term Care Facilities Thursday, June 3, 2021

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Long-Term Care FacilitiesCountyAPACHESub-Type :License #NameContact InformationCHINLE NURSING HOMETele: (928)674-5216HIGHWAY 191 & HOSPITAL ROADFax: (928)674-5218COCHISESub-Type :Total 1SKILLED NURSING FACILITY/NURSING FACILITY DISTINCT PARTITIONCHINLECountyThursday, June 3, 2021AZLicense/Approval DatestoNONECapacity :Medcaid Cert:86503Quality Rating Evaluation DateCertifiedTotal 4SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-399GOOD SAMARITAN SOCIETY - QUIBURI MISSIONTele: (520)586-2372850 SOUTH HIGHWAY 80Fax: (520)586-7003BENSONAZNameContact InformationNCI-2708HAVEN OF DOUGLAS, LLCTele: (520)364-79371400 NORTH SAN ANTONIO AVENUEFax: (520)805-9146AZNameContact InformationNCI-338HAVEN OF SIERRA VISTA, LLCTele: (520)459-4900660 SOUTH CORONADO DRIVEFax: (520)458-4082AZ85635Capacity :02/01/2021 to 01/31/2022Quality Rating Evaluation DateA06/27/2019Certified11/01/2020 to 10/31/2021Medcaid Cert:04/11/201958License/Approval DatesCapacity :BCertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date58Medcaid Cert:85607License #SIERRA VISTA07/01/2020 to 06/30/2021Medcaid Cert:85602License #DOUGLASLicense/Approval Dates100CertifiedQuality Rating Evaluation DateA05/07/2021

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Long-Term Care FacilitiesCountyCOCHISESub-Type :Thursday, June 3, 2021Total 4SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-392LIFE CARE CENTER OF SIERRA VISTATele: (520)458-10502305 EAST WILCOX DRIVEFax: (520)458-6944SIERRA VISTACountyCOCONINOSub-Type :AZ07/01/2021 to 06/30/2022Capacity :Quality Rating Evaluation DateA04/22/2021152Medcaid Cert:85635CertifiedTotal 4SKILLED NURSING FACILITY ONLYLicense #NameContact InformationNCI- 3730ASPIRE TRANSITIONAL CARETele: (928)440-23501521 NORTH PINE CLIFF DRIVEFax: (928)440-5412FLAGSTAFFSub-Type :License/Approval DatesAZLicense/Approval Dates08/01/2020 to 08/01/2021Capacity :B50Medcaid Cert:86001Quality Rating Evaluation DateNot CertifiedSKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-2662HAVEN OF FLAGSTAFF, LLCTele: (928)779-6931800 WEST UNIVERSITY AVENUEFax: (928)779-2180FLAGSTAFFAZNameContact InformationNCI-2709HAVEN OF SEDONA, LLCTele: (928)284-1000505 JACKS CANYON ROADFax: (714)256-2003AZ8635102/01/2021 to 01/31/2022Capacity :07/01/2020 to 06/30/2021Medcaid Cert:A10/26/2020CertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date83Medcaid Cert:86001License #SEDONALicense/Approval Dates112CertifiedQuality Rating Evaluation DateA08/28/2019

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Long-Term Care FacilitiesCountyCOCONINOSub-Type :Thursday, June 3, 2021Total 4SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-2515THE PEAKS HEALTH & REHABILITATIONTele: (928)774-71063150 NORTH WINDING BROOK ROADFax: (928)213-0831FLAGSTAFFCountyGILASub-Type :AZ04/01/2021 to 03/31/2022Capacity :Quality Rating Evaluation DateA02/27/202058Medcaid Cert:86001CertifiedTotal 4SKILLED NURSING FACILITY/NURSING FACILITY DISTINCT PARTITIONLicense #NameContact InformationNCI-2668RIM COUNTRY HEALTH & RETIREMENT COMMUNITYTele: (928)474-1120807 WEST LONGHORN ROADFax: (928)474-0505PAYSONSub-Type :License/Approval DatesAZLicense/Approval Dates10/01/2020 to 09/30/2021Capacity :B11/25/2019109Medcaid Cert:85541Quality Rating Evaluation DateCertifiedSKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-2720HAVEN OF GLOBETele: (928)425-57211100 MONROE STREETFax: (928)425-3745GLOBEAZNameContact InformationNCI-2650HERITAGE HEALTH CARE CENTERTele: (928)425-31181300 SOUTH STREETFax: (928)425-0707AZ8550111/01/2020 to 10/31/2021Capacity :03/01/2021 to 02/28/2022Medcaid Cert:A10/25/2019CertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date104Medcaid Cert:85501License #GLOBELicense/Approval Dates96CertifiedQuality Rating Evaluation DateA05/21/2020

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Long-Term Care FacilitiesCountyGILASub-Type :Thursday, June 3, 2021Total 4SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-2655PAYSON CARE CENTERTele: (928)474-6896107 EAST LONE PINE DRIVEFax: (928)474-6997PAYSONCountyGRAHAMSub-Type :AZCapacity :Quality Rating Evaluation DateA09/19/2019163CertifiedTotal 1SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDNameContact InformationNCI-2653HAVEN OF SAFFORDTele: (928)428-49101933 PEPPERTREE DRIVEFax: (928)567-3794SAFFORDMARICOPASub-Type :10/01/2020 to 09/30/2021Medcaid Cert:85541License #CountyLicense/Approval DatesAZLicense/Approval Dates02/01/2021 to 01/31/2022Capacity :Medcaid Cert:85546Quality Rating Evaluation DateA02/28/2018106CertifiedTotal 90INTERMEDIATE CARE FACILITY FOR INTELLECTUALLY DISABLEDLicense #NameContact InformationICF004ARIZONA TRAINING PROGRAM OF PHOENIX - CAMPBELL Tele: (602)230-8494Fax: (602)264-85612327 WEST CAMPBELLPHOENIXAZNameContact InformationICF002ARIZONA TRAINING PROGRAM OF PHOENIX - EARLLTele: (602)224-99863043 NORTH 37TH STREETFax: (602)957-4259AZ8501801/01/2020 to 12/31/2021Quality Rating Evaluation DateNOTAPPLICABLECapacity :Medcaid Cert:85015License #PHOENIXLicense/Approval DatesCertifiedLicense/Approval Dates01/01/2020 to 12/31/2021Capacity :Medcaid Cert:CertifiedQuality Rating Evaluation DateNOTAPPLICABLE

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90INTERMEDIATE CARE FACILITY FOR INTELLECTUALLY DISABLEDLicense #NameContact InformationICF003ARIZONA TRAINING PROGRAM OF PHOENIX - PINCHOTTele: (602)956-77823322 EAST PINCHOTFax: (602)957-4250PHOENIXAZNameContact InformationICF005ARIZONA TRAINING PROGRAM OF PHOENIX - WINDSORTele: (602)230-81971750 EAST WINDSORFax: (602)266-9588AZNameContact InformationICF001HACIENDA DE LOS ANGELESTele: (602)243-42311402 EAST SOUTH MOUNTAIN AVENUEFax: (602)243-1217Sub-Type :AZNOTAPPLICABLECertifiedLicense/Approval Dates01/01/2020 to 12/31/2021Quality Rating Evaluation DateNONECapacity :CertifiedLicense/Approval Dates04/01/2021 to 03/31/2022Capacity :Quality Rating Evaluation DateNOTAPPLICABLE60Medcaid Cert:85040Quality Rating Evaluation DateCapacity :Medcaid Cert:85006License #PHOENIX01/01/2020 to 12/31/2021Medcaid Cert:85018License #PHOENIXLicense/Approval DatesCertifiedSKILLED NURSING FACILITY ONLYLicense #NameContact InformationNCI-2694ACACIA HEALTH CENTERTele: (480)384-56004555 EAST MAYO BLVDFax: (480)948-1584PHOENIXAZ85050License/Approval Dates01/01/2021 to 12/31/2021Capacity :Medcaid Cert:78Not CertifiedQuality Rating Evaluation DateA01/31/2020

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY ONLYLicense #NameContact InformationNCI-2663ADVANCE HEALTHCARE OF SCOTTSDALETele: (480)214-42009846 NORTH 95TH STREETFax: (480)214-4250SCOTTSDALEAZNameContact InformationNCI-2687AHC OF GLENDALE LLCTele: (602)732-340016825 NORTH 63RD AVENUEFax: (602)732-3470AZNameContact InformationNCI-2657AHC OF MESA LLCTele: (480)214-24005755 EAST MAIN STREETFax: (480)214-2450AZNameContact InformationNCI-2733CENTER AT ARROWHEAD, LLCTele: (623)773-61007201 W CAMINO SAN XAVIER AVEFax: (719)685-8958AZNameContact InformationNCI-453ESTRELLA OF CASCADIA, L.L.C.Tele: (208)401-96002020 NORTH 95TH AVENUEFax: (844)362-3862AZ8503705/01/2021 to 04/30/202210/23/2020Quality Rating Evaluation DateA05/08/2019Not Certified10/01/2020 to 09/30/2021Quality Rating Evaluation DateB05/16/201996Not CertifiedLicense/Approval Dates03/01/2021 to 02/28/2022Medcaid Cert:A38License/Approval DatesCapacity :Quality Rating Evaluation DateNot CertifiedLicense/Approval DatesCapacity :05/22/201954Medcaid Cert:85308License #PHOENIX01/01/2021 to 12/31/2021Capacity :ANot CertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date38Medcaid Cert:85205License #GLENDALECapacity :Medcaid Cert:85306License #MESA04/01/2021 to 03/31/2022Medcaid Cert:85258License #GLENDALELicense/Approval Dates54Not CertifiedQuality Rating Evaluation DateNONE

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY ONLYLicense #NameContact InformationNCI-2658FOUNTAIN VIEW VILLAGETele: (480)836-480016455 EAST AVENUE OF THE FOUNTAINSFax: (480)836-4876FOUNTAIN HILLSAZNameContact InformationNCI-2630FREEDOM PLAZA CARE CENTERTele: (623)815-610013714 NORTH PLAZA DEL RIO BLVDFax: (623)815-6111AZNameContact InformationNCI-2646FRIENDSHIP VILLAGE OF TEMPETele: (480)831-31842525 EAST SOUTHERN AVENUEFax: (480)831-3259AZNameContact InformationNCI-395LIFE CARE CENTER OF SCOTTSDALETele: (480)860-63969494 EAST BECKER LANEFax: (480)391-9699AZNameContact InformationNCI-1981LUDDEN HEALTHCARE, INCTele: (623)546-503014660 W PARKWOOD DRIVEFax: (623)546-5031AZ8537402/01/2021 to 01/31/202202/28/2017Quality Rating Evaluation DateA10/15/2020Not Certified12/01/2020 to 11/30/2021Quality Rating Evaluation DateA09/13/2019132Not CertifiedLicense/Approval Dates08/01/2020 to 07/31/2021Medcaid Cert:A128License/Approval DatesCapacity :Quality Rating Evaluation DateNot CertifiedLicense/Approval DatesCapacity :05/31/2019111Medcaid Cert:85260License #SURPRISE04/01/2021 to 03/31/2022Capacity :ANot CertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date48Medcaid Cert:85282License #SCOTTSDALECapacity :Medcaid Cert:85381License #TEMPE05/01/2021 to 04/30/2022Medcaid Cert:85268License #PEORIALicense/Approval Dates100Not CertifiedQuality Rating Evaluation DateNONE

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY ONLYLicense #NameContact InformationNCI-2701SANTE OF CHANDLERTele: (480)361-6636825 SOUTH 94TH STREETFax: (480)361-8386CHANDLERAZNameContact InformationNCI-2697SANTE OF MESATele: (480)699-96245358 EAST BASELINE ROADFax: (480)383-6777AZNameContact InformationNCI-2703SANTE OF NORTH SCOTTSDALETele: (480)588-538617490 NORTH 93RD STREETFax: (623)236-4176AZNameContact InformationNCI-2700SANTE OF SURPRISETele: (623)594-505014775 WEST YORKSHIRE DRIVEFax: (623)594-5074AZNameContact InformationNCI-418SIERRA WINDSTele: (623)972-021217300 NORTH 88TH AVEFax: (623)876-3076AZ8538202/01/2021 to 01/31/202202/28/2017Quality Rating Evaluation DateA08/31/2018Not Certified09/01/2020 to 08/31/2021Quality Rating Evaluation DateA09/19/201970Not CertifiedLicense/Approval Dates11/01/2020 to 10/31/2021Medcaid Cert:A72License/Approval DatesCapacity :Quality Rating Evaluation DateNot CertifiedLicense/Approval DatesCapacity :10/31/201970Medcaid Cert:85374License #PEORIA04/01/2021 to 03/31/2022Capacity :ANot CertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date70Medcaid Cert:85255License #SURPRISECapacity :Medcaid Cert:85206License #SCOTTSDALE09/01/2020 to 08/31/2021Medcaid Cert:85224License #MESALicense/Approval Dates70Not CertifiedQuality Rating Evaluation DateB05/31/2019

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY ONLYLicense #NameContact InformationNCI-343SNH AZ TENANT LLCTele: (480)948-58007100 EAST MESCAL STREETFax: (480)951-7389SCOTTSDALEAZNameContact InformationNCI-421SNH AZ TENANT, LLCTele: (623)972-099513840 NORTH DESERT HARBOR DRIVEFax: (623)974-4519AZNameContact InformationNCI-1468SUN HEALTH GRANDVIEW TERRACETele: (623)975-810014505 WEST GRANITE VALLEY DRIVEFax: (623)975-8192AZNameContact InformationNCI-2654SUN HEALTH LA LOMA CARE CENTERTele: (623)537-740014260 SOUTH DENNY BOULEVARDFax: (623)537-7480AZNameContact InformationNCI-4211THE CENTER AT VAL VISTA, LLCTele: (480)224-95003744 SOUTH ROME STREETFax: (480)224-9551AZ8529701/01/2021 to 12/31/202107/10/2019Quality Rating Evaluation DateA11/30/2019Not Certified03/01/2021 to 02/28/2022Quality Rating Evaluation DateA03/31/201743Not CertifiedLicense/Approval Dates10/01/2020 to 09/30/2021Medcaid Cert:B72License/Approval DatesCapacity :Quality Rating Evaluation DateNot CertifiedLicense/Approval DatesCapacity :01/08/202057Medcaid Cert:85340License #GILBERT01/01/2021 to 12/31/2021Capacity :ANot CertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date92Medcaid Cert:85375License #LITCHFIELD PARKCapacity :Medcaid Cert:85381License #SUN CITY WEST01/01/2021 to 12/31/2021Medcaid Cert:85254License #PEORIALicense/Approval Dates96Not CertifiedQuality Rating Evaluation DateA

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY ONLYLicense #NameContact InformationNCI-2645THE GARDENS OF SCOTTSDALETele: (480)941-22226001 EAST THOMAS ROADFax: (480)941-2741SCOTTSDALEAZNameContact InformationNCI-2616VI AT GRAYHAWK, A VI AND PLAZA COMPANIESCOMMUNITYTele: (480)361-32007501 EAST THOMPSON PEAK PARKWAYFax: (480)659-5166AZNameContact InformationNCI-2695VI AT SILVERSTONE, A VI AND PLAZA COMPANIESCOMMUNITYTele: (480)478-620022605 NORTH 74TH STREETFax: (480)478-6297AZNameContact InformationNCI-3012WELLSPRINGS OF PHOENIX, LLCTele: (602)313-60003008 NORTH 3RD STREETFax: (602)687-7660AZNameContact InformationNCI-2669WELLSPRINGS THERAPY CENTER OF GILBERTTele: (480)729-65003319 SOUTH MERCY ROADFax: (602)234-8149AZ8529701/01/2021 to 12/31/202107/31/2019Quality Rating Evaluation DateA01/31/2019Not Certified05/01/2021 to 04/30/2022Quality Rating Evaluation DateA46Not CertifiedLicense/Approval Dates11/01/2020 to 10/31/2021Medcaid Cert:A24License/Approval DatesCapacity :Quality Rating Evaluation DateNot CertifiedLicense/Approval DatesCapacity :10/30/202036Medcaid Cert:85012License #GILBERT10/01/2020 to 09/30/2021Capacity :ANot CertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date44Medcaid Cert:85255License #PHOENIXCapacity :Medcaid Cert:85255License #SCOTTSDALE09/01/2020 to 08/31/2021Medcaid Cert:85251License #SCOTTSDALELicense/Approval Dates32Not CertifiedQuality Rating Evaluation DateA11/30/2019

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY/NURSING FACILITY DISTINCT PARTITIONLicense #NameContact InformationNCI-2680NEURORESTORATIVETele: (602)687-11005301 EAST THOMAS ROADFax: (602)687-1112PHOENIXAZNameContact InformationNCI-050SUNCREST HEALTHCARE CENTERTele: (602)305-71342211 EAST SOUTHERN AVENUEFax: (602)305-8862AZNameContact InformationNCI-232THE TERRACES OF PHOENIXTele: (602)944-44557550 NORTH 16TH STREETFax: (602)944-0285Sub-Type :AZCapacity :03/01/2021 to 02/28/2022Quality Rating Evaluation DateA09/19/2019Certified11/01/2020 to 10/31/2021Quality Rating Evaluation DateA10/17/201964Medcaid Cert:8502001/31/2018115License/Approval DatesCapacity :ACertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date31Medcaid Cert:85040License #PHOENIX06/01/2021 to 05/31/2022Medcaid Cert:85018License #PHOENIXLicense/Approval DatesCertifiedSKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-2679ALLEGIANT HEALTHCARE OF MESATele: (480)924-77773130 EAST BROADWAY ROADFax: (480)924-5712MESAAZ85204License/Approval Dates03/01/2021 to 02/28/2022Capacity :Medcaid Cert:204CertifiedQuality Rating Evaluation DateC06/30/2019

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-2737ALLEGIANT HEALTHCARE OF PHOENIX, LLCTele: (602)253-45701880 EAST VAN BUREN STREETFax: ( ) -PHOENIXAZNameContact InformationNCI-339ALTA MESA HEALTH AND REHABILITATIONTele: (480)981-00985848 EAST UNIVERSITY DRIVEFax: (480)396-3023AZNameContact InformationNCI-390ARCHSTONE CARE CENTERTele: (480)821-12681980 WEST PECOS ROADFax: (480)782-1073AZNameContact InformationNCI-447ARIZONA STATE VETERAN HOME-PHXTele: (602)248-15504141 NORTH S HERRERA WAYFax: (602)263-1826AZNameContact InformationNCI-2677BANNER BOSWELL REHABILITATION CENTERTele: (623)832-700010601 WEST SANTA FE DRIVEFax: (623)974-7102AZ8535109/01/2020 to 08/31/202104/15/2021Quality Rating Evaluation DateA03/05/2021Certified03/01/2021 to 02/28/2022Quality Rating Evaluation DateA10/31/2019200CertifiedLicense/Approval Dates09/01/2020 to 08/31/2021Medcaid Cert:A120License/Approval DatesCapacity :Quality Rating Evaluation DateCertifiedLicense/Approval DatesCapacity :06/14/201970Medcaid Cert:85012License #SUN CITY05/01/2021 to 04/30/2022Capacity :ACertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date120Medcaid Cert:85224License #PHOENIXCapacity :Medcaid Cert:85205License #CHANDLER11/01/2020 to 10/31/2021Medcaid Cert:85006License #MESALicense/Approval Dates91CertifiedQuality Rating Evaluation DateA08/31/2019

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-256BEATITUDES CAMPUSTele: (602)995-26111712 WEST GLENDALE AVENUEFax: (602)995-0704PHOENIXAZNameContact InformationNCI-345BELLA VITA HEALTH AND REHABILITATION CENTERTele: (623)931-58005125 NORTH 58TH AVENUEFax: (623)931-8776AZNameContact InformationNCI-159CAMELBACK POST ACUTE AND REHABILITATIONTele: (602)264-90394635 NORTH 14TH STREETFax: (602)264-1017AZNameContact InformationNCI-2734CHANDLER POST ACUTE AND REHABILITATIONTele: (480)899-67172121 WEST ELGIN STREETFax: (480)899-6364AZNameContact InformationNCI-332CHRISTIAN CARE NURSING CENTERTele: (602)443-541211812 NORTH 19TH AVEFax: (602)443-5474AZ8502903/01/2021 to 02/28/202207/31/2019Quality Rating Evaluation DateB05/30/2019Certified11/01/2020 to 10/31/2021Quality Rating Evaluation DateA04/19/2019120CertifiedLicense/Approval Dates01/01/2021 to 12/31/2021Medcaid Cert:A107License/Approval DatesCapacity :Quality Rating Evaluation DateCertifiedLicense/Approval DatesCapacity :10/10/2019176Medcaid Cert:85224License #PHOENIX12/01/2020 to 11/30/2021Capacity :ACertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date72Medcaid Cert:85014License #CHANDLERCapacity :Medcaid Cert:85301License #PHOENIX08/01/2020 to 07/31/2021Medcaid Cert:85021License #GLENDALELicense/Approval Dates68CertifiedQuality Rating Evaluation DateA12/13/2020

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-2732CITADEL POST ACUTETele: (480)832-55555121 EAST BROADWAY ROADFax: (480)924-0090MESAAZNameContact InformationNCI-2637CORONADO HEALTHCARE CENTERTele: (602)256-750011411 NORTH 19TH AVEFax: (602)943-7697AZNameContact InformationNCI-2696DESERT BLOSSOM HEALTH & REHAB CENTERTele: (480)832-390360 SOUTH 58TH STREETFax: (480)981-0963AZNameContact InformationNCI-351DESERT COVE NURSING CENTERTele: (480)899-06411750 WEST FRYE ROADFax: (480)899-1785AZNameContact InformationNCI-2625DESERT HAVEN CARE CENTERTele: (602)956-80002645 EAST THOMAS ROADFax: (602)224-5363AZ8501609/01/2020 to 08/31/202104/29/2021Quality Rating Evaluation DateA08/08/2019Certified10/01/2020 to 09/30/2021Quality Rating Evaluation DateB04/04/2019120CertifiedLicense/Approval Dates07/01/2020 to 06/30/2021Medcaid Cert:A106License/Approval DatesCapacity :Quality Rating Evaluation DateCertifiedLicense/Approval DatesCapacity :10/03/2019191Medcaid Cert:85224License #PHOENIX07/01/2020 to 08/01/2021Capacity :ACertifiedLicense/Approval DatesCapacity :Quality Rating Evaluation Date128Medcaid Cert:85206License #CHANDLERCapacity :Medcaid Cert:85029License #MESA07/01/2021 to 06/30/2022Medcaid Cert:85206License #PHOENIXLicense/Approval Dates115CertifiedQuality Rating Evaluation DateB01/31/2018

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Long-Term Care FacilitiesCountyMARICOPASub-Type :Thursday, June 3, 2021Total 90SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-237DESERT TERRACE HEALTHCARE CENTERTele: (602)273-13472509 NORTH 24TH STREETFax: (602)273-6260PHOENIXAZNameConta

Sub-Type : SKILLED NURSING FACILITY/NURSING FACILITY DISTINCT PARTITION NCI-2668 RIM COUNTRY HEALTH & RETIREMENT COMMUNITY 807 WEST LONGHORN ROAD PAYSON 85541 (928)474-1120 10/01/2020 09/30/2021 License/Approval Dates to Capacity : 109 License # Name Contact Information (928)474-0505 Tele: Fax: B Quality Rating Evaluation Date 11/25/2019File Size: 411KB