Provider Demographics
NPI:1922574458
Name:GROVES ASSISTED LIVING HOMES LLC
Entity Type:Organization
Organization Name:GROVES ASSISTED LIVING HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRE
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:520-360-8090
Mailing Address - Street 1:7961 W SUNSET RANCH PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-8203
Mailing Address - Country:US
Mailing Address - Phone:520-360-8090
Mailing Address - Fax:520-325-9596
Practice Address - Street 1:4110 E SPRING ST UNIT 1
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2515
Practice Address - Country:US
Practice Address - Phone:520-867-6844
Practice Address - Fax:520-867-6850
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GROVES ASSISTED LIVING HOMES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility