Provider Demographics
NPI:1326023631
Name:MONTEREY CARE, INC.
Entity Type:Organization
Organization Name:MONTEREY CARE, INC.
Other - Org Name:SCOTTSDALE NURSING AND REHABITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-240-2423
Mailing Address - Street 1:3293 N DRINKWATER BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6405
Mailing Address - Country:US
Mailing Address - Phone:480-947-7443
Mailing Address - Fax:
Practice Address - Street 1:3293 N DRINKWATER BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6405
Practice Address - Country:US
Practice Address - Phone:480-947-7443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-08
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZNCI276314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ158437Medicaid
AZ571639Medicaid
AZ571639Medicaid
AZ4537330001Medicare NSC