Provider Demographics
NPI:1326385402
Name:THE BEATITUDES CAMPUS
Entity Type:Organization
Organization Name:THE BEATITUDES CAMPUS
Other - Org Name:BEATITUDES HOME HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-544-5000
Mailing Address - Street 1:1610 W GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-8948
Mailing Address - Country:US
Mailing Address - Phone:602-544-5000
Mailing Address - Fax:
Practice Address - Street 1:1610 W GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-8948
Practice Address - Country:US
Practice Address - Phone:602-544-5000
Practice Address - Fax:602-544-5005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE BEATITUDES CAMPUS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-10
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health