Provider Demographics
NPI:1316596885
Name:PRICE ROAD SENIOR LIVING, LLC
Entity Type:Organization
Organization Name:PRICE ROAD SENIOR LIVING, LLC
Other - Org Name:NORTH CHANDLER PLACE - A CONTINUUM OF CARE COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:503-510-5000
Mailing Address - Street 1:2668 NORTHPARK DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3199
Mailing Address - Country:US
Mailing Address - Phone:303-952-9216
Mailing Address - Fax:
Practice Address - Street 1:2555 N PRICE RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1686
Practice Address - Country:US
Practice Address - Phone:480-345-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-08
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility