2012 UAR 8282013Fiscal Year
End:December-12December-12December-12December-12December-12December-12December-12June-12June-12December-12December-12December-12September-12December-12December-12December-12December-12September-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12June-12December-12December-12December-13December-13December-13December-13December-13December-12December-12December-12December-12June-12June-12June-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12December-12May-12December-12December-12December-12December-13December-12December-12December-12December-12March-12December-12December-12June-12December-12December-12December-12September-12December-12December-12December-12December-12December-12December-12December-13December-12December-12December-12December-12December-12December-12February-12December-12December-12December-12December-12December-12December-12December-12September-12December-12December-12December-12October-12December-12December-12December-12December-12December-12December-12September-12December-12December-12December-12December-13December-12December-12December-12December-12December-12December-12December-12September-12December-13December-12December-12December-12December-12December-12December-12June-12December-12Due
Date:May-13May-13May-13May-13May-13May-13May-13Nov-12Nov-12May-13May-13May-13February-13May-13May-13May-13May-13February-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13Nov-12May-13May-1313-May13-May13-May13-May13-MayMay-13May-13May-13May-13Nov-12Nov-12Nov-12May-13May-13May-13May-13May-13December-12May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13Oct-12May-13May-13May-13May-13May-13May-13May-13May-13Aug-12May-13May-13Nov-12May-13May-13May-13November-12February-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13July-12May-13May-13May-13May-13May-13May-13May-13February-13May-13May-13May-13March-12May-13May-13May-13May-13May-13May-13February-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13May-13February-13May-13May-13May-13May-13May-13May-13May-13Nov-12May-13Date
Received:REVISED
6/20/20135/9/135/9/135/9/135/16/135/31/135/31/13revised
8/14/2013revised 8/14/2013revised 7/29/20135/29/13revised
7/25/20133/26/13REVISED
7/2/2013CLOSE-OUTCLOSE-OUT5/31/132/20/13REVISED 7/2/2013revised
7/29/2013revised 7/29/20136/5/135/29/136/3/13REVISED
7/2/20135/23/135/29/135/14/135/30/13REVISED
7/2/20139/3/131/30/135/28/135/31/134/11/136/3/135/31/135/28/135/29/13reviseed
7/29/2013revised 7/29/2013revised 7/29/2013revised 7/29/2013revised
7/29/20135/29/13revised 5/28/2013revised
6/4/20135/30/135/23/135/23/135/23/135/23/135/23/134/11/135/29/13REVISED
7/2/20135/21/13REVISED 4/1/2013REVISED 8/26/2013revised
8/26/20135/29/135/31/135/30/134/11/135/31/136/3/135/29/135/29/135/29/135/29/135/29/135/29/13revised
8/26/20135/29/135/28/135/28/13REVISED
5/15/20135/31/135/16/136/28/136/19/135/31/135/29/135/31/135/31/137/23/125/30/13REVISED
7/2/20131/2/135/30/13REVISED 7/2/20134/11/134/23/13REVISED
6/27/20135/30/135/29/135/28/135/31/133/21/134/29/135/28/134/11/135/28/135/14/135/21/136/5/137/13/12REVISED
7/2/20136/10/135/14/135/31/135/31/135/31/135/31/13revised
7/30/2013revised
6/11/20134/29/136/5/135/14/136/5/135/3/135/31/135/29/135/31/135/31/13revised
3/27/20134/29/134/29/13REVISED
7/2/20135/3/134/11/134/11/137/8/135/28/135/28/135/31/135/28/13revised
7/29/20135/31/135/31/135/30/134/29/135/20/13REVISED 5/1/2013revised
6/18/201311/8/125/30/13Schedule 1: Nursing Facility
InformationCLOSE OUTNEW ONWERCLOSURE NEW OWNERProvider
Facility1.1Department of Health Services License Number:
NCI-2694NCI-2687NCI-2663NCI-2657NCI-363NCI-390NCI-2656NCI-447NCI-212NCI-2641NCI-2643NCI-2677NCI-256NCI-345NCI-422NCI-424NCI-272NCI-2680NCI-2634NCI-2642NCI-2693NCI-322NCI-356NCI-412NCI-2637NCI-2696NCI-351NCI-2625NCI-306NCI-237NCI-318NCI-2652NCI-378NCI-2702NCI-421NCI-2658NCI-2630NCI-1979NCI-330NCI-339NCI-313NCI-1500NCI-321NCI-399NCI-2667NCI-2617NCI-235NCI-355NCI-2682NCI-2683NCI-2684NCI-2685NCI-2686NCI-419NCI-2650NCI-159NCI-066NCI-338NCI-323NCI-348NCI-408NCI-2672NCI-402NCI-369NCI-1718NCI-1209NCI-387NCI-381NCI-400NCI-395NCI-392NCI-1251NCI-396NCI-391NCI-382NCI-406NCI-2666NCI-2659NCI-046NCI-2670NCI-379NCI-2675NCI-372NCI-2674NCI-2638NCI-446NCI-358NCI-2647NCI-301NCI-2668NCI-2636NCI-2684NCI-2684NCI-253NCI-2639NCI-430NCI-2655NCI-2673NCI-2631NCI-336NCI-2661NCI-334NCI-343NCI-2688NCI-2690NCI-2690NCI-2668NCI-342NCI-279NCI-2649NCI
-
2621NCI-2701NCI-2697NCI-2703NCI-2700NCI-312NCI-276NCI-068NCI-2691NCI-418NCI-2671NCI-2678NCI-2676NCI-359NCI-1468NCI-2654NCI-258NCI-2648NCI-050NCI-2689NCI-2679NCI-2645NCI-2644NCI-2646NCI-2664NCI
-
2635NCI-2515NCI-2660NCI-232NCI-2681NCI-2616NCI-2695NCI-263NCI-2669NCI-327NCI-411NCI-2284NCI-3651.2Facility
Name:Acacia Health Center Advanced Healthcare of GlendaleAHC of
ScottsdaleAdvanced Healthcare of MesaFoothill Care Center,
LLCArchstone Care CenterILHC of Phoenix, LLCARIZONA STATE VETERAN
HOME-PHOENIXARIZONA STATE VETERANS HOME-TUCSONAvalon Care Center -
ScottsdaleAvalon Care Center - Tuscan, LLCBanner Boswell
Rehabilitation CenterThe Beatitudes CampusGlendale Healthcare
Associates LLCBrighton Gardens of ScottsdaleBrighton Gardens of Sun
CityCapri Care CenterCareMeridian-PhoenixPresidio Health Associates
LLCAvalon Care Center - Chandler, LLCEmeriCare Inc.Christian Care
Nursing Center, Inc.LIFE CARE CENTERS OF AMERICA, INC.Copper
Mountain Inn, Inc.North Mountain Healthcare LLCWalnuts Holding,
LLCCHANDLER UNITED MEDICAL INVESTORS LPDesert Haven Care
CenterKingman #1, LLC24th Street Healthcare Associates LLCDevon
Gables Health Care CetnerDevon Gables Rehabiliation CenterEstrella
Care & RehabFoothills Rehabilitation Center, LLCThe Forum at
Desert HarborFountain View VillageARC HDV, LLCHealthcare Management
Professionals Inc.LIFE CARE CENTERS OF AMERCIA, INC.The Evangelical
Lutheran Good Samartian SocietyThe Evangelical Lutheran Good
Samaritan SocietyThe Evangelical Lutheran Good Samaritan SocietyThe
Evangelical Lutheran Good Samaritan SocietyThe Evangelical Lutheran
Good Samaritan SocietyPHOENIX HEALTHCARE, LLCHacienda Skilled
Nursing FacilityHandmaker Services of the AgingHavasu Nursing
Center #2, Inc.Red Rock Care and Rehab, IncLa Solana Care and
Rehab, IncPonderosa Pines Care and Rehab, IncSunset Hills Care and
Rehab, IncTall Pines Care and Rehab, IncThe Forum at TucsonGLOBE
MEDICAL INVESTORS, LLCHighland Healthcare LLCImmanuel Campus of
CareKindred Nursing and Rehabilitation-HaciendaKindred Nursing
Centers West, LLCKindred Nursing Centers West, LLCLIFE CARE CENTERS
OF AMERICA, INC.Pinnacle Health Facilities XXV, LPLa Posada at Park
Centre, Inc.LaMesa Health Care CenterLa Rosa Healthcare
CenterNasazi Health Care, Inc.LIFE CARE CENTERS OF AMERICA,
INC.GLENDALE MEDICAL INVESTORS L.P.LIFE CARE CENTERS OF AMERICA,
INC.COVE ASSOCIATES JOINT VENTURESIERRA VISTA MEDICAL INVESTORS
L.P.LIFE CARE CENTERS OF AMERICA, INC.LIFE CARE CENTERS OF AMERICA,
INCLIFE CARE CENTERS OF AMERCIA, INC.LIFESTREAM COMPLETE AT COOK
HEALTH CARELIFESTREAM COMPLETE AT SUN RIDGEManor Care of Tucson AZ,
LLCPinnacle Health Facilities XXI, LPSenior Living Options Maryland
Gardens, LLCWindsor Maryland Gardens, LLCSouthwestern Medical
Centers - AZ, Inc.Pinnacle Health Facilities XXVI, LPMESA UNITED
MEDICAL INVESTORS L.P.Pinnacle Health Facilities XXVI, LPSunland
Health Associates LLCMOUNTAIN VIEW C.C.Sandretto Hills Nursing
Center #2, Inc.Radiant Hills Health Associates LLCNorthern Cochise
Community HospitalOASIS PAVILION NURSING &
REHABILITATIONRenewCare of Scosttsdale, Inc.Palm Valley Rehab &
Care CenterSenior Living Options, LLCAFS of Yuma, IncPark Waverly
Healthcare LLCPark Regency Care CenterPAYSON UNITED MEDICAL
INVESTORS LTD.PHOENIX MOUNTAIN NURSING CENTERAmerican Retirement
CorporationPlaza Health Care, Inc.Plaza HC Holding Co.,
LLCFriendship Retirement CorporationPueblo Norte Senior Living
CenterQuince Holdings, LLCSLO RidgeCrest LLC dbaWindsor RidgeCrest
LLCRIM COUNTRY REHAB, INC.People of Faith, Inc.Ensign Sabino
LLCSanta Rita Nursing & Rehab CenterSRCV-Rosa LLCSant Chandler,
LLCAsante of Mesa, LLCScottsdale Op Co, LLCAsante TRC of Surprise,
LLCSCOTTSDALE HERITAGE COURTScottsdale Nursing & Rahab
CenterScottsdale Residential Care InvestorsSIERRA BLANCA
REHABILITATION CENTER LLCSierra WindsSplendidoSpringdale
VillagePinnacle Health Facilities XXVI, LPLIFE CARE CENTERS OF
AMERICA, INC.Sun Health Grandview Terrace, LLPSun Health La Loma
Senior Living Services, Inc.SUN VALLEY LODGEAzore LLCSuncrest
Healthcare CenterYoungtown Health, Inc.Symphony of MesaGardens of
ScottsdaleGardens of Sun CityTempe Life Care Village, Inc.Silver
Ridge Management IncThe Lingenfelter Center, LTDNorthern Arizona
Senior Living Community, LLCRiver Gardens Rehab & Care
CenterThe Terraces of PhoenixVerde Vista Care and Rehab, IncVi at
Grayhawk, A Vi and Plaza Companies CommunityVi at Silverstone, A Vi
and Plaza Companies CommunityVilla Maria Care CenterWellsprings of
GilbertWestchester Care CenterWestminster VillageWinslow Campus of
CareYuma Nursing Center #2, Inc.1.3DBA (if applicable):sameApache
Junction Health CenterArizona Grand Senior Living CommunityAvalon
Care Center - Shadow MountainSouthwest Health and
Rehabilitation0Bella Vita Health and RehabilitationBrighton Gardens
of ScottsdaleBrighton Gardens of Sun City0Catalina Care &
RehabilitationChandler Health Care CenterChris Ridge Premier Care
and RehabChristian Care Health CenterCITADEL CARE CTR.Copper
Mountain Inn Coronado Care CenterDesert Blossom Health & Rehab
CenterDESERT COVE NURSING CENTERDesert Highlands Care CenterDesert
Terrace Nursing & RehabilitationFreedom Plaza Care CenterThe
Gardens Rehab & Care CenterGLENDALE CARE CENTERGood Samaritan
Society - Mesa Good ShepherdGood Samaritan Society - Peoria Good
ShepherdGood Samaritan Society - Prescott ValleyGood Samaritan
Society - Prescott VillageGood Samaritan Society - Quiburi
MissionGRACE HEALTHCARE OF PHOENIXN/AHavasu Nursing
Center00000HERITAGE HEALTH CARE CENTERHighland Manor Health &
Rehabilitation Kindred Nursing Centers West, LLCKindred
Transitional Care and Rehabilitation-NorthwestKindred Transitional
Care and Rehabilitation-Kachina PointLA CANADA CARE CENTERLa
Estancia Nursing and Rehabilitation CenterLa Hacienda at La
PosadaLake Hills InnLAS FUENTES CARE CTR.LIFE CARE CENTER OF NORTH
GLENDALELIFE CARE CENTER OF PARADISE VALLEYLIFE CARE CENTER OF
SCOTTSDALELIFE CARE CENTER OF SIERRA VISTALIFE CARE CENTER AT SOUTH
MOUNTAINLIFE CARE CENTER OF TUCSONLIFE CARE CENTER OF YUMAManorCare
Health Services TucsonMaravilla Care CenterMaryland Gardens Care
CenterMaryland Gardens Care CenterMeadow Park Care CenterMesa
Christian Health and Rehabilitation CenterMI CASA NURSING
CTR.Mission Palms of Mesa Health and Rehabilitation CenterMontecito
Care0Mountain View ManorNorth Mountain Medical &
Rehabilitationn/aOsborn Health and RehabilitationPalm Valley Rehab
& Care CenterPalm View Rehabilitation & Care CenterPark
Avenue Health and RehabilitationPAYSON CARE CENTERPlaza Del Rio
Care Center0Plaza Health CareProvidence Place at GlencroftPueblo
Springs Rehab CenterRidgecrest HealthcareRidgecrest HealthcareRIM
COUNTRY HEALTH & RETIREMENT COMMUNITYRoyal OaksSabino Canyon
Rehab. & CareSanta Rita Nursing & Rehab CenterSanta Rosa
Care CenterSant of ChandlerSant of MesaSante of North
ScottsdaleSant of Surprise0Scottsdale Village SquareSonora at
SplendidoSun City Health and Rehabilitation CenterSUN GROVE VILLAGE
CARE CTR.Sun Health Grandview Care CenterSun Health La Loma Care
CenterN/ASunwest Choice HealthcareSunview Health and Rehabilitation
CenterFriendship Village of TempeThe Legacy Rehab & Care
CenterThe Peaks, A Senior Living Community00Villa Maria Care Center
LLCVolunteers of America Care Facilities0Yuma Nursing
Center1.4Facility Phone
Number:(305)-256-3509602-732-3400480-214-4200480-214-2400480-983-0700480.821.1268602-954-9178602-248-1550(520)
638-2150(480) 860-1766(520)
294-0005623-832-7000602-995-2611480-941-2222623-933-2222(602)944-1574(602)687-1100520-795-9574480-899-6717602-433-6300602-861-3241480-832-5555925.425.5721602-256-7500(480)
832-3903480-899-0641928-753-5580602-273-1347520-296-6181520-296-6181(623)
-932-2282520-733-8700623-972-0995480.836.5000(623)
815-6100928-718-0718623-247-3949480-981-0098623-875-0100928-775-0045928-778-2450520-586-2372602-264-3824602-243-4231520-881-2323928-453-1500928-634-5548520-364-7937928-779-6931928-428-4910928-537-5333520-325-4800928-425-3118602-264-9039623-977-8373(520)
459-4900(520) 297-8311(928)
284-1000520-797-1191480-759-0358520-648-8380928-344-8541(520)
742-6242928.505.5552928-778-9603602-843-8433602-867-0212480-860-6396520-458-1050602-243-2780520-575-0900928-344-0425(623)
933-3333(623)
933-3333520-299-7088602-243-6121602-265-7484602-265-7484928/778-9667480-833-3988480-981-0687480-832-5160480-832-8333502-797-2600928-778-4837602-218-9483520-384-3541(520)
421-4960480-994-133313575 W. McDowell Road13575 W. McDowell
Road928-783-8831520-882-6151480-345-8500928-474-6896602-996-5200623-933-7722(480)
990-1904(480) 990-1904623-939-9475480-948-3990(520)
296-2306(602)482-6671(602)482-6671(928)
474-1120623-933-2807520-722-5515520-795-1610480-361-6636480-699-9624480-588-5386623-594-5050480-949-5400480-947-7443480-946-6571(928)
368-2060623-298-0762520.878.2705480-981-8844623-933-0022623-566-0642623-975-8100623-537-7400623-933-0137623-584-6161602-305-7134603-977-6532480-941-2222623-933-2222480-831-3184928-763-1404928-718-4852928-774-7106928-763-8700602-944-4455928-567-5253408-361-3200480-478-6200520-323-9351480-729-6500480-831-8660480-451-2000928-289-4678928-726-67001.5Facility
Physical Address:4555 East Mayo Blvd17001 N. 63rd Avenue9846 N.
95th Street5755 East Main Street2012 W Southern Ave1980 W Pecos
Rd4602 North 24th Street4141 NORTH THIRD ST.555 E AJO WAY11150 N
92nd Street2900 E Milber Street10601 W. Santa Fe Drive1616 W.
Glendale Avenue6001 East Thomas Road17225 Boswell Boulevard1501 E
Orangewood5301 E Thomas Road2611 North Warren Avenue2121 West Elgin
Street6246 N. 19th Avenue11812 N 19th Ave5121 E BROADWAY1100 Monroe
Street11411 North 19th Avenue60 South 58th Street1750 W FRYE
ROAD2645 East Thomas Road1081 Kathleen Ave2509 N 24th Street6150 E.
Grant Rd.6150 E Grant Road350 East LaCanada2250 North Craycroft
Road13840 N. Desert Harbor Dr.16455 East Ave of the Fountains13714
N. Plaza Del Rio Blvd.3131 Western Ave4704 W DIANA AVE5848 E.
University Drive10323 W. Olive Avenue3380 N Windsong Drive1030
Scott Drive850 South Hwy 804202 N. 20TH AVE2401 E South Mountain
Ave.2221 N. Rosemont Blvd3576 Kearsage Drive197 South Willard
St.1400 San Antonio Avenue800 West University Ave1933 Peppertree
Dr2401 East Hunt Street2500 Rosemont Blvd1300 SOUTH ST.4635 N 14th
Street11301 N. 99th Ave.660 Coronado Drive1919 West Medical St.505
Jacks Canyon Road7970 N LA CANADA DR15810 South 42nd St.700 South
La Posada Circle2470 S. Arizona St.7500 North Calle Sin Envidia2781
Osborn1045 SCOTT DRIVE13620 N 55TH AVE.4065 E BELL ROAD9494 E
BECKER LANE2305 E WILCOX DRIVE8008 S JESSE OWENS PKWY6211 N LA
CHOLLA BLVD2450 S 19TH AVE11527 W. PEORIA12215 W. BELL ROAD3705 N
Swan Road8825 S 7th St31 W. Maryland Ave.31 W. Maryland Ave.864
Dougherty255 W. Brown Road330 S PINNULE CIRCLE6458 E. Broadway
Road51 South 48th Street1313 W MAGEE ROAD1045 Sandretto Drive9155 N
3rd Street901 W Rex Allen Drive161 WEST RODEO ROAD3333 North Civic
Center PlazaGoodyearGoodyear2222 S. Avenue A2001 N Park Avenue255 N
Price Road107 E. LONE PINE DR.13232 N TATUM BLVD13215 N. 94th
Drive1475 North Granite Reef Road1475 North Granite Reef Road8641 N
67th Ave7090 East Mescal St.5545 East Lee Street16640 North 38th
Street16640 North 38th Street807 W. LONGHORN ROAD10025 W Royal Oak
Rd5830 East Pima Street150 N. La Canada Drive1650 N. Santa Rosa
Avenue825 S. 94th St 5358 E. Baseline Rd.17490 N. 93rd Street14775
West Yorkshire Dr. 3339 N DRINKWATER BLVD3293 Drinkwater Blvd.2620
N. 68th Street3401 N. LOCKWOOD DRIVE17300 N 88th Ave13500 N. Rancho
Vistoso Blvd7255 East Broadway Road9940 Western Union Hills
Dr.20625 N LAKE PLEASANT DR14505 W. Granite Valley Dr14260 Denny
Blvd.12415 N. 103rd Ave.14002 W. Meeker Blvd2211 E Southern
Ave12207 North 113th Avenue3130 East Broadway Road6001 E. Thomas
Road17225 N. Boswell Blvd2525 E Southern Avenue2812 Silver Creek
Road1099 Sunrise Ave3150 N. Winding Brook Rd.2150 Silver Creek
Road7550 N 16th St15 East Highway 2607501 E Thompson Peak Pkwy22605
N 74th Street4310 E. Grant Road3319 S. Mercy Gilbert6100 South
Rural Road12000 North 90th St.826 W. Desmond Street1850 West 25th
Street1.6 City:PhoenixGlendaleScottsdaleMesaApache
JunctionChandlerPhoenixPHOENIXTUCSONScottsdaleTucsonSun
CityPhoenixGlendaleScottsdaleSun CityPhoenixPhoenixTucsonChandler
PhoenixPhoenixMESAGlobePhoenixMesaCHANDLERPhoenixKingmanPhoenixTusconPhoenix
AvondaleTucsonPeoriaFountain
HillsPeoriaKingmanGLENDALEMesaPeoriaPrescott
ValleyPrescottBensonPHOENIXPhoenixTucsonLake Havasu
CityCottonwoodDouglasFlagstaffSaffordShow
LowTucsonGLOBEPhoenixPeoriaSierra
VistaTucsonSedonaTUCSONPhoenixGreen ValleyYumaTucsonLake Havasu
CityPRESCOTTGLENDALEPHOENIXSCOTTSDALESIERRA VISTA
PHOENIXTUCSONYUMAYOUNGTOWNSURPRISETucsonPhoenixPhoenixPhoenixPrescottMesaMESAMesaMesaTUCSONPrescottPhoenixWillcoxCASA
GRANDEScottsdaleArizonaArizonaYumaTucsonChandlerPAYSONPHOENIXPeoriaScottsdaleScottsdaleGlendaleScottsdaleTucsonPhoenixPhoenixPAYSONSun
CityTucsonGreen ValleyTucsonChandlerMesa
ScottsdaleSurpriseSCOTTSDALEScottsdale
ScottsdaleLAKESIDEPeoriaTucsonMesaSun CityPEORIASun City
WestLitchfield ParkSun CitySun City WestPhoenixYoungtown
MesaScottsdaleSun CityTempeBullhead CityKingmanFlagstaffBullhead
CityPhoenixCamp
VerdeScottsdaleScottsdaleTucsonGilbertTempeScottsdaleWinslow
Yuma1.7
State:AZAZAZAZArizonaAZArizonaARIZONAARIZONAArizonaArizonaAZAZArizonaArizonaArizonaArizonaAZArizonaArizonaAZAZAZAZArizonaArizonaAZAZAZArizonaAZAZAZAZAZAZArizonaAZAZArizonaArizonaArizonaArizonaArizonaARIZONAAZAZAZAZAZAZAZAZAZAZArizonaAZAZAZAZAZAZArizonaAZAZAZAZAZAZAZAZAZAZAZARIZONAARIZONAAZArizonaAZAZAZArizonaAZArizonaArizonaAZAZArizonaAZARIZONAAZ8533885338AZArizonaAZAZARIZONAAZArizonaArizonaAZAZArizonaAZAZARIZONAAzArizonaArizonaArizonaArizonaArizonaAZArizonaAZArizonaArizonaARIZONAAZAZAZArizonaAZAZAZAZAZ
AZArizonaAZAZAZAZArizonaAZArizonaArizonaAZAZArizonaArizonaArizonaAzArizonaAZAZAZ1.8
Zip
Code:3806085308852588520585220852248501685012857138526085714-209785351850218530185251853738501885719-31608522485015-151185029852068550185029-3699852068522486401-391885008-1805857128571285353857128538185268-830785381864018530285205-744685345-734586314-226286301-179385602-698885015850428571286406-91158632685607860018554685901857128550185014-40168534585635857048635185704850488561485364857188640686301853048503285260856358504085741853648536285374857188504285013850138630585201852068520685206-12508570486305-371785020-241085643851228525113575
W. McDowell Road13575 W. McDowell
Road85364857198522385541850328538185257852578530285254857128503285032855418535185712-5611856148571285224852068525585374852518525185257859298538285755852088537385382853758534085351853758504085363-1208852048525185373852828644286401860018644285020863228525585255857128529785283852608604785364-69041.9
County:MaricopaMaricopaMaricopaMaricopaMaricopaMaricopaMaricopaMaricopaPIMAMaricopaPimaMaricopaMaricopaMaricopaMaricopaMaricopaMaricopaMaricopaPimaMaricopaMaricopaMaricopaMARICOPAGilaMaricopaMaricopaMARICOPAMaricopaMohaveMaricopaPimaPimaMaricopaPimaMaricopaMaricopaMaricopaMohaveMARICOPAMaricopaMaricopaYavapaiYavapaiCochiseMARICOPAMaricopaMaricopaMohaveYavapaiCochiseCoconinoGrahamNavajoPimaGILAMaricopaCochisePimaYavapaiPIMAMaricopaPimaYumaPimaMohaveYAVAPAIMARICOPAMARICOPAMARICOPACOCHISEMARICOPAPIMAYUMAMARICOPAMARICOPAPimaMaricopaMaricopaMaricopaYavapaiMaripcopaMARICOPAMaricopaMaricopaPIMAYavapaiMaricopaCochisePINALMaricopaGoodyearGoodyearPimaMaricopaGILAMARICOPAMaricopa0MaricopaMaricopaPimaMaricopaMaricopaGILAMaricopaPimaPimaPimaMaricopaMaricopaMaricopaMaricopaMARICOPAMaricopaMaricopaNAVAJOMaricopaPimaMaricopaMaricopaMARICOPAMaricopaMaricopaMaricopaMaricopaMaricopaMaricopaMaricopaMaricopaMaricopaMaricopaMohaveMohaveCoconinoMohaveMaricopaYavapaiMaicopaMaricopaPimaMaricopaMaricopaMaricopaNavajoYuma1.10Mailing
Address: (If different from above)same as aboveSAME005121 E
BROADWAYSame1750 W FRYE ROADSAME4704 W DIANA AVE0000001300 SOUTH
ST.07970 N LA CANADA DRSame1045 SCOTT DRIVE13620 N 55TH AVE.4065 E
BELL ROAD9494 E BECKER LANE2305 E WILCOX DRIVE8008 S JESSE OWENS
PKWY6211 N LA CHOLLA BLVD2450 S 19TH AVE0Same as aboveSame as
abovesame330 S PINNULE CIRCLE00107 E. LONE PINE
DR.NA0SameSameSameSame0same as above20625 N LAKE PLEASANT
DRN/AN/AsameSame as Above00001.11
City:00MESACHANDLERGLENDALE000000GLOBE0TUCSONPRESCOTTGLENDALEPHOENIXSCOTTSDALESIERRA
VISTA
PHOENIXTUCSONYUMA0MESA00ArizonaArizonaPAYSONNA00PEORIAN/AN/Asame00001.12
State:00AZAZAZ000000AZ0AZAZAZAZAZAZAZAZAZ0AZ008539585395AZNA00AZN/AN/Asame00001.13
Zip
Code:0085206852248530200000085501085704863018530485032852608563585040857418536408520600MaricopaMaricopa85541NA0085382N/AN/Asame00001.14
County:00MARICOPAMARICOPAMARICOPA000000GILA0PIMAYAVAPAIMARICOPAMARICOPAMARICOPACOCHISEMARICOPAPIMAYUMA0MARICOPA00623-536-9911623-536-9911GILANA00MARICOPAN/AN/Asame00001.15Administrator:Patrick
KinneyForrest ArnettJona PaganoLisa HarrisonMichael CalderonAllen
DunlapKim TeBruggeCOLLEEN RUNDELLJAMES ROSSRobert TunilaNani
GrayDavid CheneyMeryl SalitDoug HaneyKelly F. BojorquezWade W.
VestWilton SyckesLara BowlesRob EagarEric FaasKeitha ReedKathy
Loschedier, CNHAMARK MUIRPaula MitchellNicole WilsonSteven
JonesLINDSEY GAYAlan BealVicki PhillipsPat HobbsHeather
FreibusHeather FriebusDiana NeiceVirginia LeacockSusan GoadMelanie
SeamansMichael OliverKristen OttCHERYL WARTENBERGLynden R.
HeimanLinda D. ExnerDavid SteeleTerry McGinnityArjun PurvisMICHAEL
MORRISBill TimmonsArthur MartinKen KidderCourtney FischbeckLeilani
EichmanRichard AndersonBret KingSandra LewisPaige RyanMATT
HAM(RVP)Santiago,Nigel IJai LarmanDenise IwertzDennis GrafJoanne
ReeseDAVID KAFORAHerb CookSteve KolnackiCatherine OliverRichard
ParkJanet LumpkinSUSAN BENDERKATHLEEN CONNOLLYMICHAEL JOHNSONSHONNA
BRIGGS (INTERIM)MICHAEL FLEMING (INTERIM)BRETT HOBBSBARBARA
YOUNGJEFFREY PITTARDSCOTT MEDLINBOB FRECHETTEWilliam
AmoureuxJeffrey BarrettSean MockbeeSean MockbeeMike Calderon,
LNFATodd CorlessMISTI VALENTINOGary KotzForrest PetersonMARIA
MONTIONKathleen LangfordEli RobbinsRoland Knox, CEOSCOTT MORINRick
Aznar-BeaneTara MockbeeTara MockbeeAdam MerrellEllen CoteAndrew
QuinnSAMUEL LOVELESSSANDY BESTICMichael OliverDavid StarrettDavid
StarrettAntonia HortonRoss MonacoChris RomneyHolly GibsonHolly
GibsonHARVEY PEVLOSKYKendra EberhartChristine JonesLinda PalmerKim
ArndtAmi Mendez SelfSteve NawahineJana McDonaldMICHELLE
MARTINEZShawn McAffeyKen GreenMATTHEW MEYERJennifer NealonGail
RankinGary DavisELLA BARNEYCheryl KnuppNancy WilsonMichael L.
FaheyTerry GrangerDavid DeRushiaSean HillBlake GilmanKelly
BojorquezSara VetchJayne ChristensenAmy ElsburyKristen OttNancy
EmerickSue McCarthyAdam UtanCourtney FischbeckKatherine
SchulzBonnie HazelwoodCindy LeachRussell WagnerDan BelisleTimothy
KerseyBarbara BrownMary Alka1.16
Phone:(305)-256-3509602-732-3400480-214-4200480-214-2400480-983-0700480-821-1268602-954-9178602-248-1591(520)
780-9943(480) 860-1766(520)
294-0005623-832-5356602-995-6110923-931-5800480-941-2222623-933-2222602-944-1574(602)687-1100520-795-9574480-899-6717602-433-6404602-443-5439480-832-5555928.425.5721602-256-9500(480)
832-3903480-899-0641602-956-8000928-753-5580602-273-1347520-296-6181
x 5011520 296-6181(623) 932-2282520
733-8700623-972-0995480.836.4802(623)
815-6106928-718-0718623-247-3949480-854-3240623-875-0115928-775-0045928-778-2450520-586-2372602-264-3824602-243-4231,
X
103520-547-6008928-453-1500928-634-5548520-364-7937928-779-6931928-428-4910928-537-5333520-325-4800928-425-3118(602
)264-9039623-977-8373 ext.
636520-459-4900520-297-8311928-284-1000520-797-1191480-759-0358520-648-8380928-344-8541(520)
742-6242 Ext.
258928.505.1404928-778-9603602-843-8433602-867-0212480-860-6396520-458-1050602-243-2780520-575-0900928-344-0425520-299-7088602-243-6121602-265-7484602-265-7484928/778-9667480-833-3988480-981-0687480-832-5160480-832-8333502-797-2600928-778-4837602-218-9483520-384-3541(520)
421-4960480-990-1333623-536-9911623-536-9911928-783-8831520-882-5161480-345-8500928-474-6896602-996-5200(623)
815-6106(480) 990-1904(480) 990-1904623-847-3016480-948-3990(520)
296-2306602-482-6671602-482-6671(928)
474-1120623-815-4116520-722-5515520-625-0168520-795-1610 ext#
102480-361-6636480-699-9624480-588-5386623-594-5050480-949-5400480-947-7443480-946-6571(928)
368-2060623-972-0212520.878.2651623-933-0022623-566-0642623-975-8040623-975-7440623-933-0137623-584-6161602-305-7134603-977-6532480-941-2222623-933-2222480-831-3107928-763-1404928-718-4852928-774-7106928-763-8700602-944-4455928-567-5253408-361-3232480-478-6200520-323-9351480-831-8660480-451-2024928-289-4678928-726-67001.17
Email
Address:[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected][email protected][email protected][email protected][email protected][email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]
Financial Officer:David BennettMark EmmettMark EmmettMark
EmmettN/AK. Robert Evenson, Jr.n/aNeeraj DeshpandeNEERAJ
DESHPANDEBob WoltilBob Woltiljeremy williamsAllen BlochSuzanne
SnapperMarc RichardsMarc RichardsMary Beth FormbySuzanne SnapperBob
WoltilRobert BatemanDavid Klemm, CPAKATHY WOJCIKJoyce
HumistonSuzanne SnapperWENDY VENRICKCliff ShirrellSuzanne SnapperA.
Richard TischlerAvi RothnerGreg SanchezAvi RothnerPaul V.
HoaglandTim AdamsSandy DangeloPatrick NugentTINA LLATARaye Nae
NylanderRaye Nae NylanderRaye Nae NylanderRaye Nae NylanderRaye Nae
NylanderALICE MARIE CLARK DANKSChristine McNamaraCliff ShirrellMatt
BradyMatt BradyMatt BradyMatt BradyMatt BradyPaul V. HoaglandGINGER
FAUCETTESuzanne SnapperRichard LechleiterRichard LechleiterRichard
LechleiterKARENA HIGUERATom Patterson - Management CompanyPaul S.
IdePaul V. HoaglandMark OhlendorfJoyce HumistonTERRI HARWOODREGINA
CADENASUZANNE ZINDARSVERONICA PAJUYOCORRIE DUTTONSUE
PRUDENCIODANIEL MEDEIROSLORA FLOWERSRONALD E. ESTESRONALD E.
ESTESMatthew S. KangTom Patterson - Management CompanyLynnea
Castillo, CPATom Patterson - Management CompanyAMANDA PETERSONTom
Patterson - Management CompanySuzanne SnapperJUANITA SKIDMORECliff
ShirrellSuzanne SnapperDarcy RobertsonJOSEPH A. MARTINSuzanne
SnapperRoss RichardsonRoss RichardsonLori HuffmanSuzanne
SnapperMark OhlendorfAMANDA SNOWBRUCE HARKINSSandy DangeloLee
FormanLee FormanSusan M HornbostelPaul V. HoaglandDon McKeanDon
McKeanJOSEPH A. MARTINDonald F. MaySuzanne SnapperPaul KoslokyAlan
BealBrenda JensenLori WelchLori SmithSHELLY MARTINTeri
StarkweatherNAJOSEPH A. MARTINSally WilliamsCarol SussenbachTom
Patterson - Management CompanyDEBRA SCHULZEWilliam T.
SellnerWilliam T. SellnerN/AMark GarberMichelle ZimbelmanSuzanne
SnapperRichard A. DoyleRichard A. DoyleTerry BellesPatrick
NugentPatrick Nugentn/aPatrick NugentPamela ClaassenMatt
BradyMichelle GammageThomas HarperCarol BaumNancy GavinBud
HartCathy WilliamsCliff Shirrell1.19 Phone:(480)
384-5600720-213-1776614.459.0445n/a602-234-8419(602) 234-8419(801)
596-8844(801)
596-8844623-832-4951602-995-6112949-487-9500703-854-0830703-854-0830(949)
263-6633949-487-9500801-596-8844206-378-4188602-443-5451480-832-5555970.516.1404949-487-9500480-899-0641573-471-1276949-487-9500248-642-2914847
905-4000(505) 468-4948847 905-4000617-796-8387312.673.4406(623)
876-2436928-718-4852623-247-3949605-362-3100605-362-3100605-362-3100605-362-3100605-362-3100423-308-1845520-322-3625573-471-1276801-296-5100801-296-5131801-296-5100801-296-5100801-296-5100617-796-8387928-425-3118(949)
487-9500502-596-7300502-596-7300502-596-7300520-797-1191972-930-8177520-648-7901617-796-8387(414)
918-5000970.516.1404928-778-9603602-843-8433602-867-0212480-860-6396520-458-1050602-243-2780520-575-0900928-344-0425(623)
933-3333(623) 933-3333419-254-7728972-930-8177210/828-5686
x5003972-930-8177480-981-0687972-930-8177949-487-9500502-797-2600573-471-1276949-487-9500520-384-8533(602)
265-1455949-487-9500540-265-0322949-487-9500414-918-5000928-474-6896816-734-0533(623)
876-24360623-847-3006617-796-8387602-482-6671602-482-6671(602)
265-1455623-815-4129949-487-9500925-631-9100602-956-8000480-699-9624480-588-5386623-594-5050480-949-5400949-240-2423(602)
265-1455623-972-0212847.492.6760972-930-8177623-566-0642623-832-6616623-832-6616N/A541-746-1020816-232-9573949-487-9500617-796-8387617-796-8387480-831-3225928-718-4852928-718-4852n/a928-718-4852925-924-7100801-296-5100408-361-3200480-478-6130602-368-8203952-983-4249480-451-2004623-256-02343573-471-12761.20
Email
Address:[email protected]@[email protected]@[email protected]/[email protected]@azdvs.govN/AN/[email protected]@[email protected]@[email protected]/[email protected][email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected]/AN/AN/AN/AN/[email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected][email protected][email protected][email protected][email protected][email protected][email protected][email protected][email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]/[email protected]@[email protected]@[email protected]@[email protected]/[email protected]@[email protected]@[email protected]@[email protected]@[email protected]
Providing Information:David BennettMark EmmettMark EmmettMark
EmmettCarol ArieteBrandy LuhmanNancy WeimerJoseph A. Martin,
CPAJOSEPH A. MARTIN, CPAJeff MooreJeff MooreEric HofflanderCammy
ClevengerMarc GlogowskyTony J. HarrisTony J. HarrisLarry
LitmanBernard BarnuevoMarc GlogowskyJeff MooreJeff MooreJenna
MeyerJOHN BINDERUPKimberly K. McKayMarc GlogowskyEllen SubiaJOHN
BINDERUPLarry LitmanCliff ShirrellMarc GlogowskyStephen David -
ABRShaindy KompelSid IngramShaindy KompelLori NelsonLeticia U
GonzalezSandy DangeloLarry LitmanJOHN BINDERUPKim KouriKim KouriKim
KouriKim KouriKim KouriJANAN MITCHELLJoseph O'MalleyLarry
LitmanCliff ShirrellRyan CorneliusRyan CorneliusRyan CorneliusRyan
CorneliusRyan CorneliusLori NelsonJOHN BINDERUPMarc GlogowskyBrian
BurdetteJohn MeriwetherJohn MeriwetherJohn MeriwetherJOHN
BINDERUPJamie Collier - Management CompanyKelly King-McDonaldLori
NelsonKimberly K. McKayJOHN BINDERUPJOHN BINDERUPJOHN BINDERUPJOHN
BINDERUPJOHN BINDERUPJOHN BINDERUPJOHN BINDERUPJOHN BINDERUPJOSEPH
A. MARTINJOSEPH A. MARTINTori AbramsJamie Collier - Management
CompanyAlison BestAlison BestSandra KincaidJamie Collier -
Management CompanyJOHN BINDERUPJamie Collier - Management
CompanyMarc GlogowskyJOHN BINDERUPCliff ShirrellMarc GlogowskyDarcy
RobertsonMarc GlogowskyLarry LitmanLarry LitmanYun ZhangMarc
GlogowskyDouglas C. Walters, CPAJOHN BINDERUPCHRIS HALESandy
DangeloWilma BelardoWilma BelardoSusan M HornbostelLori NelsonEllen
SubiaLarry LitmanLarry LitmanRhonda GrandonMarc GlogowskyLarry
LitmanMichael R. HarrisLarry LitmanLarry LitmanLarry LitmanLarry
LitmanJOHN BINDERUPTeri StarkweatherLarry LitmanBill Pray, Polaris
GroupAnna D'SouzaLarry LitmanJamie Collier - Management CompanyJOHN
BINDERUPJane SwansonJane SwansonJoyce LloydLarry LitmanAndrea
KeppleMarc GlogowskyLarry LitmanLori NelsonLori NelsonBill
PrayPolaris GroupLarry LitmanLarry LitmanMichael SluisLarry
LitmanZhen ZhangRyan CorneliusMatthew LongMatthew LongLarry
LitmanLarry LitmanErica LeiterBill PrayPolaris GroupLarry
LitmanCliff Shirrell1.22
Phone:(305)-256-3509720-213-1776720-213-1776720-213-1776480-983-0700480-821-1268952-361-8062602-265-1455(602)
265-1455(503) 244-2134(503) 244-2134602-747-4730602-433-6179(949)
487-9500703-854-0830703-854-0830602-789-8104949-494-0785(949)487-9500503-244-2134503-244-2134602-443-5412402-934-9682719.471.7290(949)
487-9500(760) 473-0388 ext
117402-934-9682602-789-8104573-471-1276(949)
487-9500562-624-9819847 905-3290(505) 468-6846847
905-3290303-973-9430312.673.4360(623)
876-2436602-789-8104402-934-9682605-362-3100605-362-3100605-362-3100605-362-3100605-362-3100423-308-1845602-243-4231,
X
107602-300-8519573-471-1276801-296-5100801-296-5118801-296-5100801-296-5100801-296-5100303-973-9430402-934-9682(949)487-9500856-833-1700(502)
596-7510(502) 596-7510(502)
596-7510402-934-9682972-930-8122520-648-7905303-973-9430719.471.7290402-934-9682402-934-9682402-934-9682402-934-9682402-934-9682402-934-9682402-934-9682402-934-9682(602)
265-1455(602)
265-1455419-252-5540972-930-8122602-265-7484602-265-7484210/828-5686
x5044972-930-8122402-934-9682972-930-8122(949)
487-9500402-934-9682573-471-1276(949) 487-9500520-384-8533(949)
487-9500602-300-8519602-300-8519540-265-0322(949)
487-9500727-244-5978402-934-9682903-454-0261(623) 876-2436(818)
905-8000 ext 110(818) 905-8000 ext 110623-847-3006303-973-9430(760)
471-0388 ext 117602-789-8104602-789-8104623-815-4124(949)
487-9500602-789-8104520-795-1610 ext#
115602-300-8519602-300-8519602-300-8519602-300-8519402-934-9682949-240-2423602-789-8104800-275-6252847.492.5036602-789-8104972-930-8122402-934-9682623-832-4332623-832-4332623-933-0137602-789-8104515-963-1125(949)
487-9500602-789-8104303-973-9430303-973-9430800-275-6252602-789-8104602-789-8104952-361-8046602-789-8104925-924-7156801-296-5100904-923-1400904-923-1400602-300-8519602-300-8519952-983-4264800-275-6252602-789-8104573-471-12761.23
Email
Address:[email protected]@[email protected]@[email protected]
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@sunriseseniorliving.comtony.harris@sunriseseniorliving.comllitman@[email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected][email protected][email protected][email protected][email protected][email protected][email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected]@[email protected][email protected]@[email protected]@[email protected]@healthcaresystemsandservices.comllitman@healthcaresystemsandservices.comYun.Zhang@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@healthcaresystemsandservices.comllitman@healthcaresystemsandservices.comllitman@healthcaresystemsandservices.comllitman@healthcaresystemsandservices.comjohn_binderup@[email protected]@[email protected]@[email protected][email protected]@[email protected]@sunvalleylodge.orgllitman@healthcaresystemsandservices.comakepple@[email protected]@[email protected]@[email protected]@healthcaresystemsandservices.comllitman@healthcaresystemsandservices.commsluis@thegoodmangroup.comllitman@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@nmassociates.net
1.24Type of Control: (Select One)Proprietary -
PartnershipProprietary - PartnershipProprietary -
PartnershipProprietary - PartnershipProprietary -
PartnershipProprietary-CorporationNon-Profit-OtherGovernment
OperatedGovernment OperatedProprietary - PartnershipProprietary -
PartnershipNon-Profit-OtherNon-Profit-OtherProprietary -
CorporationProprietary-CorporationProprietary-CorporationProprietary
- CorporationProprietary - CorporationProprietary -
CorporationProprietary - PartnershipProprietary - CorporationNon
Profit-OtherProprietary -
CorporationProprietary-CorporationProprietary -
CorporationProprietary-CorporationProprietary -
PartnershipProprietary -
CorporationProprietary-CorporationProprietary -
CorporationProprietary -
CorporationProprietary-CorporationProprietary -
CorporationProprietary -
CorporationProprietary-CorporationProprietary -
CorporationProprietary -
CorporationNon-Profit-ChurchNon-Profit-ChurchNon-Profit-ChurchNon-Profit-ChurchNon-Profit-ChurchProprietary-CorporationNon-Profit-OtherNon-Profit-OtherProprietary-CorporationProprietary-CorporationProprietary-CorporationProprietary-CorporationProprietary-CorporationProprietary-CorporationProprietary
- CorporationProprietary - CorporationProprietary-CorporationNon
Profit-OtherProprietary - CorporationProprietary -
CorporationProprietary - CorporationProprietary -
CorporationProprietary - PartnershipNon-Profit-OtherProprietary -
CorporationProprietary -
CorporationProprietary-CorporationProprietary -
CorporationProprietary - PartnershipProprietary -
CorporationProprietary - PartnershipProprietary -
PartnershipProprietary - CorporationProprietary -
CorporationProprietary -
CorporationNonProfit-ChurchNonProfit-ChurchProprietary -
CorporationProprietary -
PartnershipProprietary-PartnershipProprietary-CorporationProprietary
- PartnershipProprietary - PartnershipProprietary -
PartnershipProprietary - CorporationProprietary -
CorporationProprietary-CorporationProprietary -
CorporationNon-Profit-OtherProprietary-CorporationProprietary -
CorporationProprietary - CorporationProprietary -
CorporationNon-Profit-OtherProprietary - CorporationProprietary -
CorporationProprietary -
PartnershipProprietary-Corporation0NonProfit-ChurchProprietary -
CorporationProprietary-CorporationProprietary -
CorporationProprietary -
CorporationProprietary-CorporationNon-Profit-OtherProprietary-CorporationProprietary
- CorporationProprietary - CorporationProprietary -
PartnershipProprietary - PartnershipProprietary -
PartnershipProprietary - PartnershipProprietary -
CorporationProprietary - CorporationProprietary -
PartnershipProprietary-CorporationProprietary -
CorporationProprietary -
PartnershipProprietary-CorporationProprietary -
PartnershipProprietary -
CorporationProprietary-PartnershipNon-Profit-OtherNon-Profit-OtherProprietary
- CorporationProprietary-CorporationProprietary -
CorporationProprietary-CorporationProprietary -
CorporationProprietary - CorporationProprietary -
CorporationProprietary -
CorporationNon-Profit-OtherNon-Profit-ChurchProprietary-CorporationProprietary
- CorporationProprietary - CorporationProprietary -
Corporation0Non-Profit-OtherProprietary -
CorporationProprietary-CorporationProvider
Numbers01.25NPI:106372511714474988521366594632129576862019523825251376616235190298326510130097451336444181133613337017705777101770505448150885660891174518013136649585515381140121740277136139697266716492622391619961653135665619313563356321316993793185139033013765356741326349093131698678918110967381184656175176047754115684627411334615066139678691916495483061528023033198265849816190739131457351967152800550116593524741205826922121591861018513815781467436121127571200217109769561255329991183112181314575906141366681520199294415112656714241437398690145730440411543681321811989866126543988915089432831336232867147763009313462814331649440751110482796319826598191689632770106341198114977930791376580357165932424217503843761124066188127557026915381074381144271818144725646619321059621295772127140793070413261341071942550645147763541519525723311528006012150803798716492719661487691465123516123310533068111295992345106374983614877310221295084440109378595810038948411629079975119478328210331773081780858522143718026210634106521114273778102300751512351858361811220270127552162713162970131578568267116463761712159379171922094044120584840513768345801407152812181127834419929610112351778741326023631114421209317607012211518940550160906187810131666021376714758170082360612554812221477603363151826305219321060851578526927146766370817909356251366495855153811401213866351341437270634126543277716795154491417900606161905812019020451641235334541109301977019029538133528517908468551669467098109383841916290066631.26AHCCCS:NANANA154708382713497804344432691486834748835118F01176401636880700402204845827884828351005921434027004-189855847182148059881404-033777648763318268806213-1714748841340547686402N/AN/ANo44656904-19130404520404443998170411870412363400125440324083241682461306449535461315461234461225N/A06-8305514209447591633489041773-0168859104-2010348222None559841N/A37189904-107004-502719-3524none04-114537-755804-087404-11614031139092236449419368423473178738277648735224404-056935195182039132-8288417078822344117956578619349478730937410881542546183004-0121447228807779355752355752404010N/A4860149247717865589305545587024198979249169032368771678981969028904-067642635551304539262835221704-1583N/AN/AN/A896441497661538322392675360199791873504698162614182569436136ALTC0194618324N/A040775488181416901.27Medicare
Certified: (Select
One)YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesyesYesyesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYESYesYesYesYesYesYesYesYes0YesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYesYESYesYesYesYesYesYesYesYesYesYesYesyesYesYesYesYesYesNoYesYesyesyesYesYesYesYesYesYesYESYesYesYesYesYesYesYesNoyesYesYesYesYesYesYesyesYesYesYesYesYesYesYesYesYesYesYesyesYes1.28CCN
(Previously Medicare Number):
03-527903-526803-526803-52663511203513003-520903-523403-52840351050350993517603-509203-5259352613516003-527403-519003510103-511603-510303-5233118052503516403-509503-506203-516903-501403-514503-514503-5166Yes0352010325603524903-515903517103518303524403515803521403-510703-525803501603-5093-518303-50910003-514103-508803-525003508603507003509403-518903527003-515303519703-524003-513103-512603-514603-514303-513603-524103-514003-513303-513703-524303-516503517503-524703-524703-512703519603-512003507103-513503-523203-511403-50873130203-527603-50763525503-509603-517403525103-511703-507203-514403-5084Mar-843515403509003-50683512503-5134N/A03-515103-50733500435283352800352863528203-50830350593521703-5277
03-52313527303-520703522503-5111N/AN/AN/A03-51103520503-524503-5193035259035261
03-5074YesYes03-525703-526703-500303-5118352723528103-5014703-5285117102803-519203-525403-51521.29Tax
ID20-380895426-401020320-228162620-2271232086-074535331-112856441-219377386-600479186-600479120-021276020-021280886-019284602-055041052-146849352146849301-066376726-322120157-115963820-0212787127304309762-096386286-101471432-008549327389239462-136378037143922343-189377004-360544686-072771048-482642685-045778545-357935927-056349920-404478686-091461062-096386245022805545022805545022805545022805545022805526-117150314-190623386-062607743-176256326-422219526-421862826-422191326-422290626-422332827-056353820-172683206-163921020-891040052-208555852-208555852-208555862-096386226-140124986-082816004-349486784-128430262-096386262-134313462-096386286-056751162-124447462-096386262-096386262-096386223-745826786-071252926-062250020-558228520-200485580-083240574-286331426-140127762-136378226-140127732-008549262-096386243-176256757-120762386-020845126-290762384-171746690-086715920-097329504-354145232-008549462-174949062-121929186-069163186-066159956-231351086-026521852-723711480047838820-194860390-086764020-454043286-041080733-092128220150868337-143922130-053749227-039566227-403063327-183994962096386288-049412395-311715020-876907386-052106187-068872626-333272326-140127762-096386286-079547786-102834886-019988720137134086098324827-125430426-333264045-167550545-167550586-033541720-190940805-055717186-090662120-190894086-017644626-422396334-409961303-057447141197431945521068841-096582986-042402086032003943-176256901.30Reporting
Period Start
Date:1/1/121/1/121/1/121/1/121/1/121/1/121/1/127/1/112/23/121/1/121/1/121/1/1210/1/111/1/121/1/121/1/121/1/1210/31/111/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/129/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/127/1/111/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/127/1/117/1/117/1/111/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/121/1/126/1/111/1/1201/01/201212/1/121/1/121/1/121/1/121/1/121/1/124/1/111/1/121/1/127/1/111/1/121/1/1212/1/121/1/1210/1/111/1/121/1/121/1/121/1/121/1/121/1/1211/1/121/1/121/1/121/1/121/1/1212/1/121/1/123/1/111/1/121/1/121/1/121/1/121/1/123/20/121/1/1210/1/1112/31/121/1/121/1/1211/1/111/1/121/1/121/1/121/1/121/1/121/1/1210/1/111/1/121/1/121/1/121/1/129/1/129/1/121/1/121/1/121/1/121/1/121/1/1210/1/111/1/121/1/121/1/121/1/125/1/127/1/111/1/127/1/111/1/121/1/00Reporting
Period End
Date:12/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/126/30/126/30/1212/31/1212/31/1212/31/129/30/1212/31/128/31/128/31/1212/31/129/30/1212/31/1212/31/1212/31/1212/31/20112/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/128/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/126/30/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/126/30/126/30/126/30/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/125/31/1212/31/1211/30/201212/31/1212/13/1212/31/1212/31/1212/31/1212/31/123/31/1212/31/1212/31/126/30/1212/31/1212/31/1212/31/1211/30/129/30/1212/31/1212/31/1212/31/1212/31/1212/31/1210/31/1212/31/1212/31/1212/31/1212/31/1211/30/1212/31/1212/31/122/28/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/129/30/1212/31/1212/31/1210/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/129/30/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/1212/31/129/30/1212/31/1212/31/1212/31/1212/31/1212/31/126/30/1212/31/126/30/1212/31/121.32New
Nursing Care Institution start date of operation (if
applicable):n/a6/11/09n/aN/An/a01/1/12n/aN/A0n/a000n/aN/AN/An/an/an/an/an/an/an/an/a0N/A12/01/2012N/An/aN/A00N/An/aNA0n/a3/20/12N/An/aNANAN/A9/1/129/1/12n/a03/8/12N/A01.33Date
of
Submission:5/25/125/30/132/28/135/31/122/15/135/31/125/10/135/29/135/31/125/3/135/29/135/29/135/31/1205/31/125/31/125/29/1311/30/125/29/135/31/135/31/135/31/135/31/135/31/1305/29/135/31/1211/19/1211/19/1211/19/125/29/135/31/135/29/135/31/125/29/135/29/135/29/135/29/135/29/135/29/135/29/135/29/1312/31/995/31/136/19/135/31/135/29/135/31/135/31/127/31/125/29/135/31/1205/31/124/23/135/31/125/31/125/29/135/20/125/31/1205/3/20135/31/1212/31/125/31/135/31/135/29/135/31/125/31/132/20/135/31/125/30/1305/31/135/1/1312/31/995/29/13Home
Office (If Applicable)1.34Home Office Name:Lifecare
ServicesAdvanced Health Care CorporationAdvanced Health Care
CorporationAdvanced Health Care CorporationAmerican Medical
Financial Corpn/aAvalon Healthh Care, Inc.Avalon Health Care,
Inc.Banner Health0Ensign Services, Inc.Sunrise Senior LivingSunrise
Senior LivingCareMeridian, LLCEnsign Services, Inc.Avalon Health
Care, Inc.Emeritus Senior Living, Inc.LIFE CARE CENTERS OF AMERICA,
INC.C&G Health Care Mgmt, Inc.Esign Services, Inc.Plum
Healthcare Group, LLCLIFE CARE CENTERS OF AMERICA, INC.Ensign
Services, Inc.Lodge Realty, LLPn/aSunBridge Healthcare
CorporationN/AFive Star Quality Care, IncSenior Lifestyle
Management LLCBrookdale Senior Living, Inc.LIFE CARE CENTERS OF
AMERCIA, INC.The Evangelical Lutheran Good Samaritan SocietyThe
Evangelical Lutheran Good Samaritan SocietyThe Evangelical Lutheran
Good Samaritan SocietyThe Evangelical Lutheran Good Samaritan
SocietyThe Evangelical Lutheran Good Samaritan SocietyGRACE
HEALTHCARE, LLC00000Five Star Quality Care, IncLIFE CARE CENTERS OF
AMERICA, INC.The Ensign Group, Inc.Kindred Healthcare, Inc.Kindred
Healthcare, Inc.Kindred Healthcare, Inc.LIFE CARE CENTERS OF
AMERICA, INC.Preferred Care, Inc.Five Star Quality Care,
IncBrookdale Senior Living, Inc.C&G Health Care Mgmt, Inc.LIFE
CARE CENTERS OF AMERICA, INC.LIFE CARE CENTERS OF AMERICA, INC.LIFE
CARE CENTERS OF AMERICA, INC.LIFE CARE CENTERS OF AMERICA, INC.LIFE
CARE CENTERS OF AMERCIA, INC.LIFE CARE CENTERS OF AMERICA, INC.LIFE
CARE CENTERS OF AMERICA, INC.LIFE CARE CENTERS OF AMERCIA,
INC.LIFESTREAM COMPLETE SENIOR LIVINGLIFESTREAM COMPLETE SENIOR
LIVINGHCR Manor Care Services, LLCPreferred Care, Inc.Touchstone
Communities, Inc.Preferred Care, Inc.LIFE CARE CENTERS OF AMERICA,
INC.Preferred Care, Inc.Ensign Services, Inc.LIFE CARE CENTERS OF
AMERICAEnsign Services, Inc.0Ensign Services, Inc.Kissito
Healthcare, Inc.Ensign Services, Inc.Brookdale Senior Living,
Inc.LIFE CARE CENTERS OF AMERICA, INC.WESTCARE, INC.Brookdale
Senior Living, Inc.0Five Star Quality Care, IncPlum Healthcare
Group, LLCWindsor HealthCareEnsign Services, Inc.N/AN/AN/ALIFE CARE
CENTERS OF AMERICANorth AmericanHealth Care Inc.N/AMather
LifeWaysPreferred Care, Inc.LIFE CARE CENTERS OF AMERICA, INC.Sun
Health Senior Living, LLCSun Health Senior Living, LLCN/AAmerican
Healthcare Management ServicesEnsign Services, Inc.SNH SE Tenant
TRS, IncSNH SE Tenant TRS, Incn/aABHOW0ViViVolunteers of America
National Services01.35Street Address:400 Locust St. Suite 8201800
S. Potomac1800 S. Potomac1800 S. Potomac1661 Old Henderson
Roadn/a206 N 2100 West206 North 2100 West1441 N. 12th Steet027101
Puerta Real, Suite 4507900 Westpark Drive Suite T-9007900 Westpark
Drive Suite T-90018A Journey Ste 20027101 Puerta Real, Suite 450206
N 2100 West3131 Elliott Avenue3570 KEITH ST NW1004 East Main
Street27101 Puerta Real, Suite 450100 E. San Marcos Blvd.Ste
2003570 KEITH ST NW27101 Puerta Real, Suite 450260 E. Brown St.,
Ste 315101 Sun Avenue NE400 Centre St.111 East Wacker Drive111
Westwood Place, Suite 4003570 KEITH ST NW4800 West 57th Street4800
West 57th Street4800 West 57th Street4800 West 57th Street4800 West
57th Street7201 SHALLOWFORD RD00000400 Centre St.3570 KEITH ST
NW27101 Puerta Real, Suite 450680 South Fourth Street680 South
Fourth Street680 South Fourth Street3570 KEITH ST NW5500 W. Plano
Parkway400 Centre St.111 Westwood Place1004 East Main Street3570
KEITH ST NW3570 KEITH ST NW3570 KEITH ST NW3570 KEITH ST NW3570
KEITH ST NW3570 KEITH ST NW3570 KEITH ST NW3570 KEITH ST NW11315 W.
PEORIA AVE.11315 W. PEORIA AVE.333 N Summit Street5500 W. Plano
Parkway1020 NE Loop 410, Suite 6405500 W. Plano Parkway3570 KEITH
ST NW5500 W. Plano Parkway27101 Puerta Real, Suite 4503570 KEITH ST
NW27101 Puerta Real, Suite 450027101 Puerta Real, Suite 4505228
Valleypointe Pkwy, Building B Suite 127101 Puerta Real, Suite
450111 Westwood Place3570 KEITH ST NW13232 N TATUM BLVD111 Westwood
Place, Suite 4000400 Centre St.100 E. San Marcos Blvd. Ste 2009200
West Sunset Blvd, 7th Floor27101 Puerta Real, Suite 4503570 KEITH
ST NW3 Monarch Bay Plaza Suite 2031603 Orrington Ave., Suite
18005500 W. Plano Parkway3570 KEITH ST NW14719 W. Grand Ave.14719
W. Grand Ave.0121 SE Shurfine Dr Ste 927101 Puerta Real, Suite
450255 Washington255 Washingtonn/a6120 Stoneridge Mall Rd, 3rd
Floor071 S Wacker Dr. , Suite 90071 S Wacker Dr., Suite 9007530
Market Place Drive01.36 City:Des Moines, IAAurora, COAurora,
COAurora, COColumbusn/aSalt Lake City, UtahSalt Lake City,
UtahPhoenix0Mission ViejoMcLeanMcLeanAliso ViejoMission ViejoSalt
Lake City, UtahSeattleCLEVELAND, TENNESSEECortezMission ViejoSan
Marcos, CACLEVELAND, TENNESSEEMission ViejoBirminghamAlbuquerque,
NMNewton, MAChicagoBrentwoodCLEVELAND, TENNESSEESioux Falls, South
DakotaSioux Falls, South DakotaSioux Falls, South DakotaSioux
Falls, South DakotaSioux Falls, South DakotaCHATTANOOGA,
TN00000Newton, MACLEVELAND, TENNESSEEMission
ViejoLouisvilleLouisvilleLouisvilleCLEVELAND, TENNESSEEPlano,
TXNewton, MABrentwood, TNCortezCLEVELAND, TENNESSEECLEVELAND,
TENNESSEECLEVELAND, TENNESSEECLEVELAND, TENNESSEECLEVELAND,
TENNESSEECLEVELAND, TENNESSEECLEVELAND, TENNESSEECLEVELAND,
TENNESSEEYOUNGTOWNYOUNGTOWNToledoPlano, TXSan Antonio, TexasPlano,
TXCLEVELAND, TENNESSEEPlano, TXMission ViejoCLEVELAND, TNMission
Viejo0Mission ViejoMission ViejoBrentwood, TNCLEVELAND,
TENNESSEEPHOENIXBrentwood, TN0Newton, MASan Marcos, CAWest
Hollywood, CAMission ViejoCLEVELAND, TNDana PointEvanstonPlano,
TXCLEVELAND, TENNESSEESurpriseSurprise0AnkenyMission ViejoNewton,
MANewton, MAn/aPleasonton0Chicago, ILChicago, ILEden Prairie01.37
Zip
Code:50309-233480012-543080012-543080012-543043220n/a84116841168500609269122102221029265692691841169812137312813219269192069373129269148009871090245860601370273731257117-503857177-503857117-503857117-503857117-5038374210000002458373129269140202402024020237312750930245837027813213731237312373123731237312373123731237312853628536243699-0086750937820975093373127509392691373209269109269124019926913702737312850323702700245892069900699269137320926296020175093373128537485374050021926910245802458n/a94588060606606065534401.38
County:Polk
CountyArapahoeArapahoeArapahoeFranklinn/aMaricopa0OrangeFairfaxFairfaxOrange
CountyOrangeBRADLEY (TENNESSEE)MontezumaOrangeSan Diego
CountyBRADLEY
(TENNESSEE)OrangeOaklandBernallioMiddlesexCookWilliamsonBRADLEY
(TENNESSEE)HAMILTON00000MiddlesexBRADLEY (TENNESSEE)OrangeJefferson
CountyJefferson CountyJefferson CountyBRADLEY
(TENNESSEE)CollinMiddlesexWilliamsonMontezumaBRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY
(TENNESSEE)MARICOPAMARICOPALucasCollinBexarCollinBRADLEY
(TENNESSEE)CollinOrangeBRADLEY,
TENNESSEEOrange0OrangeRoanokeOrangeWilliamsonBRADLEY
(TENNESSEE)MARICOPAWilliamson0MiddlesexSan DiegoOrangeBRADLEY,
TENNESSEEOrangeCookCollinBRADLEY
(TENNESSEE)MaricopaMaricopa0PolkOrangeMiddlesexMiddlesexn/aAlameda0CookCookHennepin01.39Mailing
Address:Same as aboven/a00P.O. BOX 3480SameP.O. BOX 34800P.O. BOX
3480000000P.O. BOX 3480000P.O. BOX 3480SameP.O. BOX 3480P.O. BOX
3480P.O. BOX 3480P.O. BOX 3480P.O. BOX 3480P.O. BOX 3480P.O. BOX
3480P.O. BOX 34800sameP.O. BOX 348000P.O. BOX 3480NA00same as
aboveP.O. BOX 3480P.O.Box 6030P.O.Box 60300n/a00001.40
City:n/a00CLEVELANDCLEVELAND0CLEVELAND000000CLEVELAND000CLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELAND0CLEVELAND00CLEVELANDNA00CLEVELANDSun
City WestSun City West0n/a00001.41
State:n/a00TENNESSEETENNESSEE0TENNESSEE000000TENNESSEE000TENNESSEETENNESSEETENNESSEETENNESSEETENNESSEETENNESSEETENNESSEETENNESSEETENNESSEE0TENNESSEE00VATENNESSEENA00TENNESSEEAZAZ0n/a00001.42
Zip
Code:n/a003732037320037320000000373200003732037320373203732037320373203732037320373200373200037320NA003732085376853760n/a00001.43
County:n/a00BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)0BRADLEY
(TENNESSEE)000000BRADLEY (TENNESSEE)000BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)0BRADLEY (TENNESSEE)00BRADLEY
(TENNESSEE)NA00BRADLEY
(TENNESSEE)MaricopaMaricopa0n/a00001.44Contact Person:David
Bennett, DOAMark EmmettMark EmmettMark EmmettScott Haren/aDavid
SlawsonDavid Slawson0Marc GlogowskyTony J. HarrisTony J.
Harris949-494-0785Marc GlogowskyDavid SlawsonKEITH GOSSJoyce
HumistonMarc GlogowskyEllen SubiaKEITH GOSSMarc GlogowskySonja M.
MartinezSid IngramLori NelsonLeticia U GonzalezRuss BelloraKEITH
GOSSKim KouriKim KouriKim KouriALICE MARIE CLARK DANKS00000Lori
NelsonKEITH GOSSMarc GlogowskyDavid SimpsonDavid SimpsonDavid
SimpsonKEITH GOSSRobert RiekLori NelsonDouglas C. Walters, CPAJoyce
HumistonKEITH GOSSKEITH GOSSKEITH GOSSKEITH GOSSKEITH GOSSKEITH
GOSSKEITH GOSSKEITH GOSSA. Dean ShipmanRobert RiekCarl
FellbaumRobert RiekKEITH GOSSRobert RiekMarc GlogowskyKEITH
GOSSMarc Glogowsky0Marc GlogowskyLori HuffmanMarc GlogowskyDouglas
C. Walters, CPAKEITH GOSSBRUCE HARKINSRuss Bellora0Lori NelsonEllen
SubiaMarc GlogowskyKEITH GOSSTeri StarkweatherAnna D'SouzaRobert
RiekKEITH GOSSJane SwansonJane Swanson0Andrea KeppleMarc
GlogowskyLori NelsonLori Nelsonn/aZhen Zhang0Jerrun MuldrowJerrun
MuldrowErica Leiter01.45 E-mail
address:bennettdavid@sagewoodlcs.com720-213-1776720-213-1776720-213-1776share@rrohio.comn/[email protected]@[email protected]@sunriseseniorliving.comtony.harris@[email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected]@[email protected]@[email protected][email protected][email protected][email protected][email protected][email protected][email protected][email protected][email protected]@[email protected]@[email protected][email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]/[email protected]@[email protected]@voa.org01.46
Phone:(305)
[email protected]@[email protected]/a(801)
596-8844(801) 896-88440(949)
487-9500703-854-0830703-854-0830949-784-0785(949)
487-9500801-896-8844423-473-5763970.516.1404(949) 487-9500(760)
471-0388 ext. 117423-473-5763(949)
[email protected](505)
468-6846303-973-9430312.673.4360(312)
731-3326423-473-5763605-362-3100605-362-3100605-362-3100423-308-184500000303-973-9430423-473-5763(949)
487-9500502-596-7945502-596-7945502-596-7945423-473-5763972-930-8135303-973-9430727-244-5978970.516.1404423-473-5763423-473-5763423-473-5763423-473-5763423-473-5763423-473-5763423-473-5763423-473-5763419-254-7841972-930-8135210/828-5686
x5002972-930-8135423-473-5763972-930-8135(949)
487-9500423-473-5763(949) 487-95000(949) 487-9500540-265-0322(949)
487-9500727-244-5978423-473-5763816-735-0533(312)731-33260303-973-9430(760)
471-0388 ext. 117(949)
487-9500423-473-5763949-240-2423847.492.5036972-930-8135423-473-5763623-832-4332623-832-43320515-963-1125(949)
487-9500303-973-9430303-973-9430n/a925-924-71560312-803-8557312-803-8557952-983-42640Management
Company (If Applicable)N/A 1.47Mgt. Co. Name:Lifecare ServicesThe
Goodman Group, LLCN/AN/A0National Mentor Healthcare, LLCN/ALIFE
CARE CENTERS OF AMERICA, INC.N/AHome Office is Mgt. CompanyLIFE
CARE CENTERS OF AMERICA, INC.0Altitude Health Services Inc.Altitude
Health Services, Inc.LIFE CARE CENTERS OF AMERCIA,
INC.N/AN/AN/AN/AN/AN/A24-7 Care and Rehab, Inc24-7 Care and
Rehab24-7 Care and Rehab, Inc24-7 Care and Rehab, Inc24-7 Care and
Rehab, Inc0LIFE CARE CENTERS OF AMERICA, INC.Watermark Retirement
Communities000LIFE CARE CENTERS OF AMERICA, INC.Preferred Care
Partners Management Group, L.P.N/ALIFE CARE CENTERS OF AMERICA,
INC.LIFE CARE CENTERS OF AMERICA, INC.LIFE CARE CENTERS OF AMERICA,
INC.LIFE CARE CENTERS OF AMERICA, INC.LIFE CARE CENTERS OF AMERCIA,
INC.LIFE CARE CENTERS OF AMERICA, INC.LIFE CARE CENTERS OF AMERICA,
INC.LIFE CARE CENTERS OF AMERCIA, INC.0Preferred Care Partners
Management Group, L.P.SLO Maryland Gardens, LLCSnF
ManagementTouchstone Communities, Inc.Preferred Care Partners
Management Group, L.P.LIFE CARE CENTERS OF AMERICA, INC.Preferred
Care Partners Management Group, L.P.LIFE CARE CENTERS OF
AMERICAWIT2, LLCDIAMOND CARE HEALTH NETWORKSenior Living Options,
LLCKissito Healthcare, Inc.LIFE CARE CENTERS OF AMERICA, INC.NAHQMG
of Arizona-Plaza, IncHQMG of Arizona-Plaza, IncHome Office is Mgt.
CompanyDIAMOND CARE HEALTH NETWORK, LLCPioneer Health Group,
Inc.Sant Operations, LLCSant Operations, LLCSant Operations,
LLCSant Operations, LLCLIFE CARE CENTERS OF AMERICALife Care
Services, Inc.Preferred Care Partners Management Group, L.P.LIFE
CARE CENTERS OF AMERICA, INC.N/AN/AN/AAZORE LLCAmerican Healthcare
Management ServicesFive Star Quality Care, IncFive Star Quality
Care, IncLife Care Services, Inc.The Goodman Group, LLC024-7 Care
and Rehab, IncCopperSand, IncN/AACWIN1.48Street Address:400 Locust
St. Suite 8201107 Hazeltine Blvd., #200003570 KEITH ST NW3570 KEITH
ST NW02201 Main Street2201 Main Street3570 KEITH ST NW2498 S
Redwood Rd2948 S Redwood Rd2948 S. Redwood Rd.2948 S Redwood
Rd.2948 S Redwood Rd03570 KEITH ST NW2020 W. Rudasill Road0003570
KEITH ST NW5420 W. Plano Parkway3570 KEITH ST NW3570 KEITH ST
NW3570 KEITH ST NW3570 KEITH ST NW3570 KEITH ST NW3570 KEITH ST
NW3570 KEITH ST NW3570 KEITH ST NW05420 W. Plano Parkway16601 N.
40th St., Ste. 2029200 West Sunset Blvd 7th Floor1020 NE Loop 410,
Suite 6405420 W. Plano Parkway3570 KEITH ST NW5420 W. Plano
Parkway3570 KEITH ST NW6774 N Calle Sin Nombre5134 N. CENTRAL AVE.,
STE 20416601 N. 40th Street, Suite 1105228 Valleypointe Pkwy,
Building B Suite 13570 KEITH ST NWNA1475 N Granite Reef Road1475 N
Granite Reef Road5134 N. CENTRAL AVE., STE 2041640 School
Street17207 N. Perimeter Dr STE 21017207 N. Perimeter Dr STE
21017207 N. Perimeter Dr STE 21017207 N. Perimeter Dr STE 2103570
KEITH ST NW400 Locust St., Suite 8205420 W. Plano Parkway3570 KEITH
ST NWN/AN/A014002 W. Meeker Blvd.121 SE Shurfine Dr Ste 9400 Centre
St.400 Centre St.400 Locust St. Suite 8201107 Hazeltine Blvd.,
#20002948 S Redwood Rd3602 E. Greenway Rd, Ste 104001.49 City:Des
Moines, IAChaska00CLEVELAND, TENNESSEECLEVELAND,
TENNESSEE0Evanston, ILEvanston, ILCLEVELAND, TENNESSEEWest
ValleyWest ValleyWest ValleyWest ValleyWest Valley0CLEVELAND,
TENNESSEETucson, AZ000CLEVELAND, TENNESSEEPlano, TXCLEVELAND,
TENNESSEECLEVELAND, TENNESSEECLEVELAND, TENNESSEECLEVELAND,
TENNESSEECLEVELAND, TENNESSEECLEVELAND, TENNESSEECLEVELAND,
TENNESSEECLEVELAND, TENNESSEE0Plano, TXPhoenixWest HollywoodSan
Antonio, TexasPlano, TXCLEVELAND, TENNESSEEPlano, TXCLEVELAND,
TNTucson PHOENIXPhoenixCLEVELAND,
TENNESSEENAScottsdaleScottsdalePHOENIXMoragaScottsdale,
AZScottsdale, AZScottsdale, AZScottsdale, AZCLEVELAND, TNDes
Moines, IAPlano, TXCLEVELAND, TENNESSEEN/AN/A0Sun City West
AnkenyNewton, MANewton, MADes Moines, IAChaska0West
ValleyPhoenix001.50 Zip
Code:50309-233455318003731237312060202602023731284119841198411984119841190373128570400037312750933731237312373123731237312373123731237312075093850329006978209750933731275093373208571885012850322401937312NA85257852578501294556852558525585255852553732050309-23347509337312N/AN/A08537550021024580245850309-23345531808411985032001.51
County:Polk CountyCarver00BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)0CookCookBRADLEY (TENNESSEE)Salt LakeSalt LakeSalt
LakeSalt LakeSalt Lake0BRADLEY (TENNESSEE)Pima000BRADLEY
(TENNESSEE)CollinBRADLEY (TENNESSEE)BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)0CollinMaricopaLos
AngelesBexarCollinBRADLEY (TENNESSEE)CollinBRADLEY,
TENNESSEEPimaMARICOPAMaricopaRoanokeBRADLEY
(TENNESSEE)NAMaricopaMaricopaMARICOPAMaricopaMaricopaMaricopaMaricopaBRADLEY,
TENNESSEEPolk CountyCollinBRADLEY
(TENNESSEE)N/AN/A0PolkMiddlesexMiddlesexPolk CountyCarver0Salt
LakeMaricopa001.52Mailing Address:Same as abovesame00P.O. BOX
3480P.O. BOX 34800P.O. BOX 3480000000P.O. BOX 3480000P.O. BOX
3480P.O. BOX 3480P.O. BOX 3480P.O. BOX 3480P.O. BOX 3480P.O. BOX
3480P.O. BOX 3480P.O. BOX 3480P.O. BOX 34800sameP.O. BOX
34800016601 N. 40th Street, Suite 110P.O. BOX 3480NA18757 Burbank
Blvd. #13015760 Ventura Blvd. Suite 9201640 School Street0P.O. BOX
3480N/AN/A014002 W. Meeker Blvd.same00001.53
City:same00CLEVELANDCLEVELAND0CLEVELAND000000CLEVELAND000CLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELANDCLEVELAND0CLEVELAND00PhoenixCLEVELANDNATarzanaEncinoMoraga0CLEVELANDN/AN/A0Sun
City Westsame00001.54
State:same00TENNESSEETENNESSEE0TENNESSEE000000TENNESSEE000TENNESSEETENNESSEETENNESSEETENNESSEETENNESSEETENNESSEETENNESSEETENNESSEETENNESSEE0TENNESSEE00ArizonaVATENNESSEENACACACalifornia0TENNESSEEN/AN/A0AZsame00001.55
Zip
Code:same00373203732003732000000037320000373203732037320373203732037320373203732037320037320008503237320NA913569143694556037320N/AN/A085375same00001.56
County:same00BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)0BRADLEY
(TENNESSEE)000000BRADLEY (TENNESSEE)000BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)BRADLEY (TENNESSEE)BRADLEY
(TENNESSEE)BRADLEY (TENNESSEE)0BRADLEY (TENNESSEE)00Ross
RichardsonBRADLEY (TENNESSEE)NALos AngelesLos Angeles0BRADLEY
(TENNESSEE)N/AN/A0same00001.57Contact Person:David Bennett,
DOANancy Weimer00KEITH GOSSKEITH GOSS0Shaindy KompelShaindy
KompelKEITH GOSSRyan CorneliusRyan CorneliusRyan CorneliusRyan
CorneliusRyan Cornelius0KEITH GOSSJeff Jarnigan000KEITH GOSSMary
TaylorKEITH GOSSKEITH GOSSKEITH GOSSKEITH GOSSKEITH GOSSKEITH
GOSSKEITH GOSSKEITH GOSS0Mary TaylorRoss RichardsonAsh ChawlaCarl
FellbaumMary TaylorKEITH GOSSMary TaylorKEITH GOSSJoe CiminoLori
HuffmanKEITH GOSSNAMichael SchwartzMichael SchwartzJeri BluthGreg
FicekGreg FicekGreg FicekGreg FicekKEITH GOSSSally WilliamsMary
TaylorKEITH GOSSN/AN/A0Phil FriedlanAndrea KeppleLori NelsonLori
NelsonMarvin Cole E.D.Michael Sluis0Ryan CorneliusCarol Baum001.58
E-mail address:(305)
[email protected][email protected][email protected]@[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected][email protected][email protected][email protected][email protected][email protected][email protected][email protected]@[email protected]@snfmgmt.com210/828-5686
[email protected][email protected]@[email protected]@[email protected]@[email protected]@[email protected]@santepartners.com423-473-5763swilliams@[email protected][email protected]/AN/[email protected]@ahahealthcare.com303-973-9430303-973-9430marvincole@[email protected]@[email protected]
Phone:bennettdavid@sagewoodlcs.com952-361-806200423-473-5763423-473-57630847
905-3290847
[email protected]@havenhg.com801-296-5100801-296-5100801-296-51000423-473-5763520-241-9119000423-473-5763972-930-8147423-473-5763423-473-5763423-473-5763423-473-5763423-473-5763423-473-5763423-473-5763423-473-57630972-930-8147602-264-0995310-385-1078cfellbaum@touchstone-communities.com972-930-8147423-473-5763972-930-8147KEITH_GOSS@LCCA.COM520-444-4109Lori.Huffman@KissitoHealthcare.Org423-473-5763NA(818)
905-8000(818)
905-8000925-235-1010480-626-2272480-626-2272480-626-2272480-626-2272KEITH_GOSS@LCCA.COM623-972-0212972-930-8147423-473-5763N/AN/[email protected]@5sqc.com480-831-4500952-361-80460801-296-5100520-323-935100Other
InformationLicensed bed capacity01.60Beginning of
Period:32543838190120362001201202407172186485613331102120606812810419110612011512010831231216114957641111281968015080806010074741188064801289967961072281002301121281925812542104128223210132152124162128128581181946060641911801002061201161552413413017217014320066163130128221221225841292002001091221121151447070727010890132112706012211812817996581401151272044856128120885888649936248332111601191201.61End
of
Period:3254383819012036200120120240717218648561333110212060681281041911061201151201083123121611495764111128196801508080581007474118806480128996796107228100230112128192581254210412822321013215212416212812858118194606064191180100206120116155241341301721701432006616313012822122122584129200200109125112115144707072701089013211270601221181281799658140115127204485612812088588864993624833211160119120Operational
Beds in Service01.62Beginning of
Period:325438381901163620012012024071721624856109311021206068128104187106120115120933123121541495764111128196801508080601007474116806480128996796100228100230112128192581254210412822321013215212416212812858118194606064191180100192120114155241341201721701432006616313012822122118384129200200109122102115144707072705990132112704912211812812882451401091272044856128120885888649936247932111601191141.63End
of
Period:32543838190116362001201202407172162485610931102120606812810418710612011512093312312154149576411112819680150808058100747411680648012899679610022810023011212819240125421041282232101321521241621281285811819460606419118010019212011415524134120172170143200661631301282212211838412920020010912510211514470707270599013211270461221181281288248140109127204485612812088588864993624793211160119114Skilled
Medicare Lic. Beds (if distinct)01.64Beginning of
Period:54380190116n/a2002200721864856413110201281041911061201150108031201495764111128196000001007408064801289967961072281002301121281920125010412822321013215212416212811819460606419118010020612001550130172170143200163130128179179338450500112115144707072701089013210121221181289496N/A140012790485612812088n/a88649983321116011901.65End
of
Period:54380190116n/a200220072186485641311020128104191106120115010803120149576411112819600000100710806480128996796107228100230112128192012510412822321013215212416212811819460606419118010020612001550130172170143200163130128179179338450500112115144707072701089013210121221181289496N/A140012790485612812088n/a8864998332111601190
1.66Registered with the Arizona Department of Insurance as a
Continuing Care Retirement
CenterYes000NNoNNYesyes00NONoNN0NONoNONONNNoNONoYNNONNNNN0NNNoNoNoNoNo0NONoNo0NONoXNOYesNoNONONONONONONONONO0NONoNoNoNONONONoNNoNoNONoNNNONoNONOY00yesnoNNNOyesNoNNNoNNNNONNOYesNONOYesYesNoNNNoNYesNNNoN0NoN/ANNoYesNoN1.67Licensed
Nursing Facility
Beds:3854383819012036200120120240721864856133311021206068128104191106120115120108031216114957641111281968015080805810074741188064801289967961072281002301121281925812542104128223210132152124162128128581181946060641911801002221201161552413413017217014320066163130128179179225841292002001091251121151447070727010890132112703612211812817996581401151272044856128120885888649936248332111601191201.68Facililty's
Licensed Assisted Living
Beds10000079000071121000005600None0000002500801258500280000009300000013000113000113085None0000000050004040060000000000004500424210833000590000000007924820000730000868391009208005436650240001.69Facility's
Independent Living
Beds278000011200004600000024300None191000000220015590008872286620014000000149001560004660155None000000001610000000000000000119003440047016700037300000000051246119002881292400005760039036902602700090000
1.70Total Facility
Beds:32654383819012022720012012024071653186405613331102120359681281040106120115120108312359161149292279196128196196222108146601007418111880648012899346961074971002301121281926371252821041282232101321521241621283395811819410010064251180100222120116155241341301721701432002301631304722212218032841292002001095571121151447070727010890262112703063231181284672251551401151272041341391281208818988513993503301483222560119120472513225Schedule
2: Patient Days Population Patient Days (A)2.01 Mercy Care Level I
ALTCS Patient
Days2484,31810,1263277,030431603,34010,0231676635,0934,2774,0191,516011,8682,5601,65289604,08603,26215,752183004,7833,8485,282004212,72790797100610700003,99712,056814503,9432,62900007,9804,322006,1561,57806,6791,44811633,7920006,8361,4491,6906,67535502,2314,9425815,75801,1493,45103,7428,9811,8694259,35003,0972,8832792,9381,6971,75701,6641205,1567,6472,7760004,8756,8404,5383,8410000Patient
Days(A)00002,5916,08902.02 Mercy Care Level II ALTCS Patient
Days2,3674,6474,063536,224679502,3295,4926872,4376,1501,1623,2811,680010,0475,4601,6422,39204,38904,0067,7721,295007,5992,3169,2080008047,5401,3330014903380005,1729,878549105,2411,51800008,8206,329003,1043,17205,1291,09045133,5150005,6632,8001,7278,42199206,5766,5102797,642010,2701,57407,15610,3163,35461214,47906,2097,4767132,3055,030090208854,7322,9360003,0592,5322,4526,190000000004,7374,59802.03
Mercy Care Level III ALTCS Patient
Days6586031744921032601094561,6341,3411,0344451,03925601,07241021366039401,1491,0847220025501,0660005606756100580100001,4561,184880063640300009141,3000046438101,2542606541,2910002,8811065788579204,210689932,33008781,93403,2151,6381,4613052,1730596942931517711,131042801,1041,21900001,26201,291804000000004191,60902.04
Mercy Care Acute Care Patient Days (Levels I, II and
III)159017644201,147102385333702040001749243028013520000025738700000000000009773690001700000000000000004204417703206840040360032600111077662200003600003534415154500000000130902.05
Mercy Care Specialty Population ALTCS Patient
Days923201,41200001,5235,5421,4340001809,76207810,688040903,3305,04919,0960013204,837000001210000000028310,97986230130000072800506,169023,58713,2461,20906,191003,1863283011,6901,7301,3915,9230311003495,3991,1664,828005,6804305211,4960013,089013801130003,9971,3992,3086,67500000000002.06
Evercare Level I ALTCS Patient
Days3012,2871,4962,145742609823,357432,5975246599772,48101,0389091,6981,3279,39662802,1431,31007,8561,8761,2192,5825,3555,01404,4485437292,5961,95202,29403,177001,1072,52691495,0522,588984010,14407,9823,1971,764001,8671,7788,7342,0851,8751971559004,0031,2971,2937653,87272210,0791,0436253681,88411,9632,7834671,3132,3281,3671,12618997403,3001,7051241,5002,2361,9372,60701593802,46709801,8561,0640001,1153,3927601,3330010,5439,007005,95101,701282965,6642.07
Evercare Level II ALTCS Patient
Days1,0981,9861,3841,597879603663,6183582,7131,72909183,07001,8988022,2171,5048,55088803,7561,24489206,9802,5755292,5087,6365,144003781,8497,2477,40103,7860113002,0483,114107574,6757,711850011,400010,6275,0093,493001,5564,5178,0951,6011,41151231,913004,2302,8214,0177591,5267317,2428401,2821243,0487,4866,7103842,2552,2261,5741,2952472,01905,4561,9642241,5463,9127,6997,63506985282,93701,4232783,0030008202,0202,035913009,2207,6033,444004,72003,5072,6063,2586,3992.08
Evercare Level III ALTCS Patient
Days4380293387001,2922405399202911904361961533723,12830601,1823664,07601,250151065824960000591198790000009376426622,547021403,05801,360783460001,093923923361251516002,64707682452841835341,313751,6762,2571,2550582527200123370983961623541,1262,1562,147009710328374000041,029440005186142,3200017102,8095321,7682.09
Evercare Acute Care Patient Days (Levels I, II and
III)6900438000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000018000007402.10
Evercare Specialty Population ALTCS Patient
Days722354000030131596383100000480004506095032926181633502754001184,7980000000000000188020723,39700000016500000019260449237584203282142800320142190233496059937145133025082,943874580003340310614201811712002767140204900000500852968156200336063690000015,3132.11
Bridgeway Level I ALTCS Patient
Days4,7736,6092,8611,30694903602,08224601,4804691,6823,08701,3271,0543,09480202,0970244932001,8102,059618006,5632,98175007,152011,766005,0791,7941,548656427810047300006,5036,328015,2171,41219802,3434,54620852,2200004851,9969841,433366082112,0278739359408549693,8852,2311,28430515,40407039761554,1503661631,5100161101,8781,2362,0280001,3768239741,5090000000092,53502.12
Bridgeway Level II ALTCS Patient
Days4,1571,5721,7572,25485501,1923,7898152303,2115921,7834,52301,4211,9962,745319065906101,543001,9041,1553,682004,6110388007,91603,699004,7531,0175,09622487510891100005,5625,07206,0194,095001,7993,42242201,9130007366,8165592,493401,4845,8241,190931,48101133,1512,3161,5636501224,5710875676622,34061,3950156205001,2484,4940003,4689231,3603,0120000000080002.13
Bridgeway Level III ALTCS Patient
Days5,8811,24633717393001522310254473287101,983416134434000122245001,3065857730091603420067703,049001,418336367503710092000067199609409150044081512378660001,0491,2693941,10802,0814,444441312600128606548437311,53246846600492311,75706620263732002,7870001,0973067351,208000000005902.14
Bridgeway Acute Care Patient Days (Levels I, II and
III)21000003900000000002300000000000003510000000160000000000000000000000410233070000000000000000800000000000000185095502.15
Bridgeway Specialty Population ALTCS Patient
Days2,5111,0750008261,7752,75017000103050294,5510002840003701,235003,818000000000002,956249428200000001910000002,16407,9951,575124087255088801,7471,3220155610001,70603213,5527581,594003,1263722,25104,579006,65600240002,0053,0854262,43800000000002.16
Scan Level I ALTCS Patient
Days7168241,512628000283012127301,0950514472604940249006800920058913000000002422980011800003671,959001,09600001210008123632408005103290021108663250000012100720200483302000303660500000000002.17
Scan Level II ALTCS Patient
Days3297261,8601,1340001,07212106329001,44006633331,34803950505001,3430001000000000003134820025400003,3601,181002,03800001210006191,7942378801218121,1060036301,79984128900002330012102427242,20100065148384031400000000002.18
Scan Level III ALTCS Patient
Days311,1590000070021202420000010700137000000000000001211210012100002424930014500001210002571212420001425510002418148000000000121018468000237089112100000000002.19
Scan Acute Care Patient Days (Levels I, II and
III)0000006211000000000000000000000000000000000000000000000000000000000000000000000000000000000000000002.20
Scan Specialty Population ALTCS Patient
Days1211,4240007381270000001510024203700006700000000000000084700000062000220000689000506002420362012100002093100001210001,163000000796173039400000000002.21
AHCCCS Level I FFS Patient
Days37283952662000146001712,67027319127014812,3651050030000370020791421432006,84173513,28004,5420432,4894431,261985096,741030336400185000000070125094901901,2431048046313,953011180077501,8772473203073667225,8150481,12799000003662001101820077008,09602.22
AHCCCS Level II FFS Patient
Days159236659200705930006,946768270264012017,6741700316274000001,6771,5673327707,03211843801,41340481907086132,02601156,092402531100530000003434156842243223410458336136895783,232026198505102,724067101,3033662843,47601,1060000001623540000008790012,49302.23
AHCCCS Level III FFS Patient
Days900112001101661470400003,20838369034404504,872750011004000001,31533417701,1957058104921,109227307522291285002,122615000057000000004600594334360425133539356521,116000005803,83001,922096301764,39101,06300000015000000039006,80602.24
AHCCCS Acute Care Patient Days (Levels I, II and
III)00000054862000000001,50310265513,9242,2220000000000000000013574890000145000000000010013600000000559512000003,940579000045102800076600000002062593641000000001769022.25
AHCCCS Specialty Populations Patient
Days0001729032149000926409700041846444500000000000000004020001484000000290000000000164876460154710223261080210000006530000000000910473000684000002.26
Skilled Medicare Patient
Days4700170081293012882545326983,86236264652,018227648993,581267347623103391332573751377220664,6041989315160274,492303227611,4908062,11878037495370830468872,569206419474,6464,816171020725363602374557758144409305537856,1176,569295018965,6832,8576,5884,370671121835260742686617,1539,1757,2754,9308,0975,0324,11510,31012836174,5459400196642646,803549524606750261337246680358937948256820343928658,290396417692,2864362673649349281927228396058476035761385316730701415856392357714383510017572710854528992,83769978791030781662015645001405359842488889,49748216,93635723093279517874207196293141821,9612.27
Private Patient
Days391713339230160136233,36868891,0321048172328,09770023003057130968149886440792,802301310908713,8622322239221,81789849421430733230165141803593279523902,5864,6621529705554589425701588465118938696612,2882,022119125133512653,3617181148104242022675540891,7491,7431,1801,8553,3414162493,14340008362,03651900366816571,6411230169120205001228148297819317481786159035432,555551617041,30550573583374741540123259637723123124813995411916113135812196341841301455941523907773232041098810,70446401173556121719501302136256143631,212013,68126717556173811323382182154711,9562.28Part
C/Advantage/Medicare Replacement
Days0000629725172,7202941,26626465215471215305884310749240447410056851806781779222146510958066010245011136391985012701862989434025146181784143782152012639797,099344342121491,4945,29099150654956018402191332118631047655907531820625146665010100025385891339294159,4371567867637184853516540482832815810332349211,2671233946500139278136234665251635020365313111525528492391911752610384647573171544133350452617739941950163813914497371571,0827955691299130951218587641,0052.29
Other Patient
Days13417876742324259191352421,406193431423666669248351632002291551144636122524446218129,07031956726022930101525071479251126337290823147425237510309619231546672313515773274053313037014922194188431634741950911481857684830658627915194237963154340211142511153103440829163263951021457130152983389282888079739204552513221078113161054300093110609650931962653452488027688395130221001983851455364514626314725862111912392.30Total
Patient
Days861718482137561378636825375791020961313108729371600432246223196516677062616028415496529275327241797522156337122885259156258273427930646297942955561,85629884483364425392171310124818304073451717828387822764321498199253070917411193431931119637181132726628042230141587927662289746150127665604901229136979265351314035428141812940831228684995509114259375303517926619321473901517518372815442519237181520930424184148819639517924109923305539543765833145520552,444457914633319058339664080539509498399904593072421037646441544120360713772328018328435043114188175027274171371443617104355183127215641830433026348683210336094236021070440399268372873355600368830444369731850298281856558792133319564106494533225874258291101923335685362072.31Occupancy
Rate73.78%93.77%99.18%99.39%53.10%88.51%77.48%83.76%2.47%ERROR:#DIV/0!68.35%86.68%88.26%87.38%28.94%25.25%71.42%43.88%86.24%74.51%81.85%89.00%71.96%75.80%86.67%66.57%78.05%73.01%67.84%79.38%54.32%26.24%85.76%81.37%44.18%55.93%61.26%65.08%48.12%60.89%70.64%94.41%73.42%93.86%83.90%64.46%71.61%43.97%67.07%77.33%93.12%59.86%63.51%64.75%78.73%73.98%73.70%75.79%71.86%74.50%78.93%37.76%218300.00%77.44%92.50%77.26%66.66%83.93%71.68%29.51%67.46%77.51%60.77%68.62%83.28%82.52%86.56%76.65%95.71%97.58%5718.58%60.68%62.98%53.66%75.48%93.83%53.06%95.37%76.78%75.67%97.62%92.36%87.49%63.47%79.11%56.93%85.76%84.57%74.18%74.69%88.55%78.75%79.73%66.10%66.45%90.42%82.68%68.35%78.24%95.95%55.53%68.50%35.20%67.07%67.04%52.07%73.72%76.29%61.22%49.46%74.17%80.74%68.53%77.26%78.86%61.10%79.06%67.46%61.98%74.67%62.98%44.56%93.53%72.72%92.86%87.46%18.30%91.07%53.99%81.04%51.75%78.33%54.31%71.85%87.82%81.93%82.44%02.32Total
Admissions during the report