National Provider Identifier Database

CHINLE NURSING HOME
Adult Care Home

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.


Contact Information

CHINLE NURSING HOME
HWY 191 N HOSP RD
CHINLE, AZ86503
Phone: 928-674-5216
Fax: 928-674-5218
Website:
Specialty Taxonomy Code
* Adult Care Home 311ZA0620X

* Indicates primary specialty

NPI Profile & details for CHINLE NURSING HOME

NPI Number 1770753543
Legal business name
LBN
CHINLE NURSING HOME
Authorized official WAYNE CLAW - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 03/07/2008
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 35242

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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