NURSING HOMES and INTERMEDIATE CARE FOR THE MENTALLY RETARDED BY ZIP CODE
TYPE
SUBTYPE MEDICAID
ID
LTC0175 LTC0165 LTC0172 LTC0173 LTC0176 LTC0197 LTC0166 LTC0196 LTC0167 LTC0169 LTC0170 LTC0171
INTERMEDIATE CARE FACILITY FOR THE MENTALLY RETARDED
TOTAL = 12
ADDRESS
1750 EAST WINDSOR 2327 WEST CAMPBELL 3043 NORTH 37TH STREET 3322 EAST PINCHOT 1402 EAST SOUTH MOUNTAIN AVENUE 2800 N HWY 87, PO BOX 1467
LICENSE
LEGAL NAME
Arizona Training Program of Phoenix - Windsor Arizona Training Program of Phoenix - Campbell Arizona Training Program of Phoenix - Earll Arizona Training Program of Phoenix - Pinchot Hacienda De Los Angeles Arizona Training Program at Coolidge - 30 Oasis Court
CITY
PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX COOLIDGE COOLIDGE COOLIDGE COOLIDGE COOLIDGE COOLIDGE COOLIDGE
ST
AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ
ZIP
85006 85015 85018 85018 85040 85228 85228 85228 85228 85228 85228 85228
TELEPHONE
(602) 266-9571 (602) 230-8494 (602) 224-9986 (602) 956-7782 (602) 243-4231 (520) 723-4151 (520) 723-4151 (520) 723-4151 (520) 723-4151 (520) 723-4151 (520) 723-4151 (520) 723-4151
FAX
(602) 266-9588
BEDS QUALITY RATING
0 NOT APPLICABLE 0 NOT APPLICABLE
(602) 957-4259 (602) 957-4250 (602) 243-1217 (520) 723-7555 (520) 723-7555 (520) 723-7618 (520) 723-7555
0 NOT APPLICABLE 0 NOT APPLICABLE 0 NOT APPLICABLE 0 NOT APPLICABLE 0 NOT APPLICABLE 0 NOT APPLICABLE 0 NOT APPLICABLE 0 NOT APPLICABLE
Arizona Training Program of Coolidge - 10 Sandstone Court 2800 N HWY 87, PO BOX 1467 Arizona Training Program of Coolidge - 20 Sandstone Court 2800 N HWY 87, PO BOX 1467 Arizona Training Program of Coolidge - 30 Sandstone Court 2800 N HWY 87, PO BOX 1467 Arizona Training Program of Coolidge - 40 Sandstone Court 2800 N HWY 87, PO BOX 1467 Arizona Training Program of Coolidge - 50 Oasis Court 2800 N HWY 87, PO BOX 1467
(520) 723-7555 (520) 723-7555
0 NOT APPLICABLE 0 NOT APPLICABLE
Arizona Training Program of Coolidge - 50 Sandstone Court 2800 N HWY 87, PO BOX 1467
TYPE
Tuesday, August 01, 2006
NURSING HOME (NH)
Page 1 of 9
SUBTYPE NF ONLY
ID
LTC0093
TOTAL = 1
ADDRESS
720 WEST 41ST STREET
LICENSE
NCI-028
LEGAL NAME
Su casa Nursing Home
CITY
TUCSON
ST
AZ
ZI P
85713
TELEPHONE
(520) 624-0784
FAX
(520) 624-3050
BEDS QUALITY RATING
16 A
SUBTYPE PIONEERS' HOME
ID
LTC0005
TOTAL = 1
ADDRESS
300 SOUTH MCCORMICK STREET
LICENSE
D-0000
LEGAL NAME
Arizona Pioneers' Home
CITY
PRESCOTT
ST
AZ
ZI P
86303
TELEPHONE
(928) 445-2181
FAX
(928) 778-1148
BEDS QUALITY RATING
64 NOT APPLICABLE
SUBTYPE SNF ONLY
ID
LTC0004 LTC0133 LTC0077 LTC0110 LTC0122 LTC0198 LTC0036 LTC0200 LTC0135 LTC0184 LTC0177
TOTAL = 15
ADDRESS
4602 NORTH 24TH STREET 6001 EAST THOMAS ROAD 7100 EAST MESCAL STREET 9494 EAST BECKER LANE 12000 NORTH 90TH STREET 16455 EAST AVENUE OF THE FOUNTAINS 2525 E SOUTHERN AVE 14260 SOUTH DENNY BOULEVARD 17225 NORTH BOSWELL ROAD 14505 WEST GRANITE VALLEY DRIVE
LICENSE
NCI-2656 NCI-422 NCI-343 NCI-395 NCI-411 NCI-2658 NCI-2646 NCI-2654 NCI-424 NCI-1468 NCI-2630
LEGAL NAME
Arizona Grand Senior Living Community Brighton Gardens of Scottsdale Pueblo Norte Senior Living Community Life Care Center of Scottsdale W eyrich Health Care Center of Westminster Village Fountain View Village The Health Care Center at Friendship Village Sun Health La Loma Care Center Brighton Gardens of Sun City Sun Health Grandview Care Ctr Freedom Plaza Care Center
CITY
PHOENIX SCOTTSDALE SCOTTSDALE SCOTTSDALE SCOTTSDALE FOUNTAIN HILLS T EMPE LITCHFIELD PARK SUN CITY SUN CITY WEST
ST
AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ
ZI P
85016 85251 85254 85260 85260 85268 85282 85340 85373 85375 85381
TELEPHONE
(602) 954-9178 (480) 941-2222 (480) 948-5800 (480) 860-6396 (480) 451-2020 (480) 836-4800 (480) 831-0880 (623) 537-7400 (623) 933-2222 (623) 975-8100 (623) 815-6100
FAX
(602) 553-8344 (480) 941-2741 (480) 951-7245 (480) 391-9699 (480) 451-2057 (480) 836-4876 (480) 831-3137 (623) 537-7408 (623) 972-3767 (623) 975-8135 (623) 583-1601
BEDS QUALITY RATING
66 A 48 A 76 B 141 A 60 A 64 NOT APPLICABLE 128 A 96 A 58 A 179 A 111 A
13714 NORTH PLAZA DEL RIO BLVD PEORIA
Tuesday, August 01, 2006
Page 2 of 9
LTC0128 LTC0131 LTC0126 LTC0185
NCI-421 NCI-418 NCI-402 NCI-1718
The Forum at Desert Harbor Sierra Winds La Hacienda at La Posada La Rosa Health Care Center at Santa Catalina Villas
13840 NORTH DESERT HARBOR DR PEORIA 17300 NORTH 88TH AVE 700 SOUTH LA POSADA CIRCLE 7500 NORTH CALLE SIN ENVIDIA PEORIA GREEN VALLEY TUCSON
AZ AZ AZ AZ
85381 85382 85614 85718
(623) 972-0995 (623) 972-0212 (520) 648-8388 (520) 742-6242
(623) 974-4519 (623) 876-3076 (520) 648-8389 (520) 742-4533
57 A 70 LONG TERM CARE 60 A 42 A
SUBTYPE SNF/NF DISTINCT PART
ID
LTC0147 LTC0012 LTC0030 LTC0139 LTC0027 LTC0132 LTC0017 LTC0023 LTC0039 LTC0047 LTC0041 LTC0178 LTC0054 LTC0094
TOTAL = 23
ADDRESS
4141 NORTH 3RD STREET 1501 E ORANGEWOOD AVENUE 16640 N 38TH ST 2211 EAST SOUTHERN AVE 2145 W SOUTHERN AVENUE 3130 EAST BROADWAY ROAD 60 S 58TH ST 1750 W FRYE RD 8641 NORTH 67TH AVE 13620 NORTH 55TH AVE 10323 WEST OLIVE AVENUE 12207 NORTH 113TH AVE 2470 SOUTH ARIZONA AVE 20625 NORTH LAKE PLEASANT RD
LICENSE
NCI-447 NCI-272 NCI-2651 NCI-050 NCI-371 NCI-416 NCI-2632 NCI-351 NCI-334 NCI-381 NCI-313 NCI-1504 NCI-369 NCI-359
LEGAL NAME
Arizona State Veteran Home-Phx Capri Care Center Ridgecrest Healthcare Suncrest Healthcare Center, L.L.C. Banner Desert Care Center Springdale West Chula Vista Care Center Desert Cove Nursing Center Glencroft Care Center Life Care Center of North Glendale Good Shepherd Retirement Ctr. Sun View Care Center La Mesa Healthcare Center Sun Grove Village Care Center
CITY
PHOENIX PHOENIX PHOENIX PHOENIX MESA MESA MESA CHANDLER GLENDALE GLENDALE PEORIA YOUNGTOW N YUMA PEORIA
ST
AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ
ZI P
85012 85020 85032 85040 85202 85204 85206 85224 85302 85304 85345 85363 85364 85382
TELEPHONE
(602) 248-1550 (602) 944-1574 (602) 482-6671 (602) 305-7134 (480) 512-4800 (480) 924-7777 (480) 832-3903 (480) 899-0641 (623) 939-9475 (602) 843-8433 (623) 875-0100 (623) 977-6532 (928) 344-8541 (623) 566-0642
FAX
(602) 263-1806 (602) 944-1638 (602) 482-3541 (602) 305-8861 (480) 512-4829 (480) 924-5712 (480) 981-0963 (480) 899-1785 (623) 847-3192 (602) 588-1828 (623) 875-0108 (623) 977-6541 (928) 344-0823 (623) 566-1512
BEDS QUALITY RATING
200 B 133 A 200 A 115 C 166 B 204 D 106 A 120 A 225 B 223 A 157 A 127 EXCELLENT 128 A 128 A
Tuesday, August 01, 2006
Page 3 of 9
LTC0037 LTC0060 LTC0049 LTC0043 LTC0083 LTC0125 LTC0191 LTC0062 LTC0188
NCI-412 NCI-2653 NCI-311 NCI-235 NCI-2621 NCI-405 NCI-2284 NCI-379
Copper Mountain Inn Rim Country Health & Retirement Community Carondelet Holy Cross Hospital, Geriatric Center Handmaker Home for the Aging Santa Rosa Care Center ManorCare Health Services W inslow Campus Of Care Meadow Park Care Center Chinle Nursing Home
1100 MONROE STREET 807 WEST LONGHORN ROAD 1171 WEST TARGET RANGE ROAD 2221 NORTH ROSEMONT BOULEVARD
GLOBE PAYSON NOGALES TUCSON
AZ AZ AZ AZ AZ AZ AZ AZ AZ
85501 85541 85621 85712 85712 85718 86047 86305 86503
(928) 425-5721 (928) 474-1120 (520) 285-8044 (520) 881-2323 (520) 795-1610 (520) 299-7088 (928) 289-4678 (928) 778-9667 (928) 674-5216
(928) 425-3745 (928) 474-0505 (520) 285-5988 (520) 881-3466 (520) 795-6355 (520) 529-0038 (928) 289-2893 (928) 771-9620 (928) 674-5218
114 A 109 NOT APPLICABLE 49 A 58 A 144 A 118 A 120 C 62 A 0 NOT APPLICABLE
1650 NORTH SANTA ROSA AVENUE TUCSON 3705 NORTH SWAN ROAD 826 WEST DESMOND STREET 864 DOUGHERTY ST PO BOX 910 TUCSON W INSLOW PRESCOTT CHINLE
SUBTYPE SNF/NF DUAL CERT
ID
LTC0028 LTC0061 LTC0048 LTC0015 LTC0008 LTC0024 LTC0052 LTC0010 LTC0067
TOTAL = 98
ADDRESS
2509 N 24TH ST 31 WEST MARYLAND AVE 4635 N 14TH ST 6246 NORTH 19TH AVE 4202 NORTH 20TH AVENUE 2645 E THOMAS RD 3020 NORTH 36TH ST 9155 NORTH THIRD STREET 7550 N 16TH ST
LICENSE
NCI-237 NCI-046 NCI-159 NCI-2652 NCI-238 NCI-2625 NCI-164 NCI-2647 NCI-232
LEGAL NAME
Desert Terrace Nursing Center Maryland Gardens Care Center Highland Manor Health and Rehabilitation Center Chris Ridge Village Health Center Sonoran Rehab And Care Center DESERT HAVEN CARE CENTER Kivel Care Center North Mountain Medical and Rehabilitation Center The Terraces of Phoenix
CITY
PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX
ST
AZ AZ AZ AZ AZ AZ AZ AZ AZ
ZI P
85008 85013 85014 85015 85015 85016 85018 85020 85020
TELEPHONE
(602) 273-1347 (602) 265-7484 (602) 264-9039 (602) 433-6300 (602) 264-3824 (602) 956-8000 (602) 956-3110 (602) 944-1666 (602) 944-4455
FAX
(602) 273-6260 (602) 285-1320 (602) 264-1017 (602) 433-6458 (602) 279-6234 (602) 224-5363 (602) 956-3460 (602) 944-8549 (602) 944-0285
BEDS QUALITY RATING
108 B 60 A 107 B 150 NONE 100 SUBSTANDARD 115 C 191 A 155 NONE 64 A
Tuesday, August 01, 2006
Page 4 of 9
LTC0007 LTC0016 LTC0070 LTC0119 LTC0071 LTC0195 LTC0163 LTC0163 LTC0098 LTC0186 LTC0022 LTC0063 LTC0202 LTC0042 LTC0018 LTC0033 LTC0056 LTC0045 LTC0064 LTC0138 LTC0002
NCI-256 NCI-332 NCI-2637 NCI-400 NCI-326 NCI-2617 NCI-1251 NCI-1251 NCI-2644 NCI-2640 NCI-2622 NCI-2629 NCI-2657 NCI-339 NCI-356 NCI-2638 NCI-2627 NCI-386 NCI-372 NCI-426 NCI-363
Beatitudes Campus Christian Care Nursing Center Coronado Healthcare Center Life Care Center of Paradise Valley Phoenix Mountain Nursing Center HACIENDA NURSING FACILITY Life Care Center At South Mtn. Life Care Center At South Mtn. Mara Villa Care Center Evergreen at Foothills LLC EVERGREEN HEALTHCARE CENTER
1712 W GLENDALE AVE 11812 N 19TH AVE 11411 NORTH 19TH AVE 4065 E BELL RD 13232 N TATUM BLVD 1402 EAST SOUTH MOUNTAIN AVENUE 8008 S. JESSE OWENS PARKWAY 8008 S. JESSE OWENS PARKWAY 8825 SOUTH 7TH STREET 15810 SOUTH 42ND ST. 420 W 10TH PLACE
PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX PHOENIX MESA MESA MESA MESA MESA MESA MESA MESA MESA MESA APACHE JUNCTION
AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ
85021 85029 85029 85032 85032 85040 85040 85040 85042 85048 85201 85201 85205 85205 85206 85206 85206 85206 85206 85208 85220
(602) 995-2611 (602) 861-3241 (602) 256-7500 (602) 867-0212 (602) 996-5200 (602) 243-4231 (602) 243-2780 (602) 243-2780 (602) 243-6121 (480) 759-0358 (480) 833-4226 (480) 833-3988 (480) 214-2400 (480) 981-0098 (480) 832-5555 (480) 832-8333 (480) 832-5160 (480) 985-6992 (480) 981-0687 (480) 981-8844 (480) 983-0700
(602) 995-0704 (602) 443-5401 (602) 943-7697 (602) 867-0321 (602) 996-6160 (602) 243-1217 (602) 243-7079 (602) 243-7079 (602) 268-3349 (480) 759-7666 (480) 969-7721 (480) 833-7122 (480) 214-2450 (480) 396-3023 (480) 924-0090 (480) 830-2466 (480) 854-7046 (480) 981-8390 (480) 396-5011 (480) 981-6998 (480) 983-7318
146 A 60 B 191 EXCELLENT 210 A 130 A 37 A 124 A 124 A 194 A 192 B 174 A 191 A 38 NOT APPLICABLE 80 A 128 A 206 A 100 B 120 A 180 B 122 B 190 A
Evergreen Mesa Christian Health and Rehabilitation Center 255 WEST BROWN ROAD Advanced Healthcare Of Mesa Good Shepherd Villa Citadel Care Center East Mesa Healthcare Center EVERGREEN VALLEY HEALTH AND REHABILITATION CENTER Hearthstone Of Mesa Mi Casa Nursing Center Springdale Village Health Care Apache Junction Hlth Center 5755 EAST MAIN STREET 5848 EAST UNIVERSITY DRIVE 5121 E BROADWAY RD 51 S 48TH ST 6458 EAST BROADWAY ROAD 215 SOUTH POWER RD 330 SOUTH PINNULE CIRCLE 7255 EAST BROADWAY ROAD 2012 WEST SOUTHERN AVE
Tuesday, August 01, 2006
Page 5 of 9
LTC0029 LTC0121 LTC0014 LTC0143 LTC0013 LTC0085 LTC0065 LTC0084 LTC0087 LTC0088 LTC0105 LTC0105 LTC0019 LTC0040 LTC0104 LTC0192 LTC0189 LTC0011 LTC0046 LTC0009 LTC0020
NCI-352 NCI-390 NCI-2642 NCI-430 NCI-2636 NCI-312 NCI-276 NCI-336 NCI-068 NCI-2641 NCI-327 NCI-327 NCI-345 NCI-330 NCI-378 NCI-2645
Desert Pavilion Skilled Nursing Facility/LTC Archstone Care Center Chandler Health Care Center Park Regency Care Center INFINIA AT SCOTTSDALE Scottsdale Heritage Court Scottsdale Nursing & Rehabilitation Center Plaza Healthcare Scottsdale Village Square AVALON CARE CENTER - SHADOW MOUNTAIN W estchester Care Center W estchester Care Center Desert Sky Healthcare & Rehab Glendale Care Center Sunbridge Estrella Care Palm Valley Rehabilitation & Care Center
950 NORTH ARIZOLA ROAD 1980 WEST PECOS ROAD 2121 WEST ELGIN STREET 2555 NORTH PRICE ROAD 3333 N CIVIC CENTER PLAZA 3339 NORTH DRINKWATER BOULEVARD 3293 N DRINKWATER BLVD 1475 NORTH GRANITE REEF RD 2620 NORTH 68TH STREET 11150 NORTH 92ND STREET 6100 SOUTH RURAL ROAD 6100 SOUTH RURAL ROAD 5125 NORTH 58TH AVE 4704 WEST DIANA AVENUE 350 EAST LA CANADA 13575 W MCDOWELL ROAD 8201 WEST BASELINE ROAD 11301 NORTH 99TH AVE 13818 N THUNDERBIRD BLVD 10601 WEST SANTE FE DRIVE 11527 W PEORIA AVE
CASA GRANDE CHANDLER CHANDLER CHANDLER SCOTTSDALE SCOTTSDALE SCOTTSDALE SCOTTSDALE SCOTTSDALE SCOTTSDALE TEMPE TEMPE GLENDALE GLENDALE AVONDALE GOODYEAR LAVEEN PEORIA SUN CITY SUN CITY YOUNGTOW N
AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ
85222 85224 85224 85224 85251 85251 85251 85257 85257 85260 85283 85283 85301 85302 85323 85338 85339 85345 85351 85351 85363
(520) 381-3822 (480) 821-1268 (480) 899-6717 (480) 345-8500 (480) 994-1333 (480) 949-5400 (480) 947-7443 (480) 990-1904 (480) 946-6571 (480) 860-1766 (480) 831-8660 (480) 831-8660 (623) 931-5800 (623) 247-3949 (623) 932-2282 (623) 536-9911 (520) 430-3813 (623) 977-8373 (623) 977-1325 (623) 974-7000 (623) 933-4683
(520) 381-6404 (480) 782-1073 (480) 899-6364 (480) 730-5264 (480) 990-0789 (480) 949-9467 (480) 947-1919 (480) 946-6286 (480) 946-5942 (480) 451-1539 (480) 838-2243 (480) 838-2243 (623) 931-8776 (623) 930-1104 (623) 925-8827 (623) 536-9502 (520) 430-2273 (623) 876-6337 (623) 974-3984 (623) 974-7102 (623) 974-6652
64 A 120 A 120 A 66 A 130 A 108 A 90 A 179 D 132 B 120 A 111 A 111 A 186 C 196 A 161 STANDARD 155 B 0 NOT APPLICABLE 228 B 120 A 71 EXCELLENT 128 A
UNLICENS Gila River Indian Care Center ED NCI-066 NCI-384 NCI-376 NCI-382 Immanuel Campus Of Care Hearthstone of Sun City Sun Health Boswell Rehabilitation Center Cook Health Care
Tuesday, August 01, 2006
Page 6 of 9
LTC0059 LTC0026 LTC0109 LTC0108 LTC0118 LTC0096 LTC0076 LTC0115 LTC0069 LTC0080 LTC0112 LTC0032 LTC0082 LTC203 LTC0089 LTC0058 LTC0066 LTC0025 LTC0124 LTC0159 LTC0101
NCI-391 NCI-253 NCI-365 NCI-2623 NCI-406 NCI-2648 NCI-2631 NCI-2650 NCI-2655 NCI-394 NCI-399 NCI-388 NCI-2649
Life Care Center Of Yuma Palm View Rehabilitation & Care Yuma Nursing Center Evergreen Sun City Health and Rehabilitation Center Baptist Village - Sun Ridge Sun West Choice Healthcare & Rehab PLAZA DEL RIO CARE CENTER Heritage Health Care Center Payson Care Center Infinia at Safford Quiburi Mission Samaritan Center Infinia at Douglas Santa Rita Nursing & Rehabilitation Center ARCHIE HENDRICKS SENIOR SKILLED NURSING FACILITY
2450 19TH AVE SOUTH 2222 SOUTH AVENUE A 1850 WEST 25TH STREET 9940 WEST UNION HILLS DRIVE 12215 WEST BELL ROAD 14002 WEST MEEKER BLVD 13215 NORTH 94TH DRIVE 1300 SOUTH STREET 107 EAST LONE PINE DRIVE 1933 PEPPERTREE DRIVE 850 SOUTH HIGHWAY 80 1400 NORTH SAN ANTONIO 150 NORTH LA CANADA DRIVE HCO 1 BOX 9100 660 CORONADO DRIVE 2305 EAST WILCOX DRIVE 901 WEST REX ALLEN DRIVE 1919 WEST MEDICAL STREET 7970 NORTH LA CANADA DRIVE 1313 WEST MAGEE 6651 EAST CARONDELET DRIVE
YUMA YUMA YUMA SUN CITY SURPRISE SUN CITY WEST PEORIA GLOBE PAYSON SAFFORD BENSON DOUGLAS GREEN VALLEY SELLS SIERRA VISTA SIERRA VISTA W ILLCOX TUCSON TUCSON TUCSON TUCSON
AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ
85364 85364 85364 85373 85374 85375 85381 85502 85541 85546 85602 85607 85614 85634 85635 85635 85643 85704 85704 85704 85710
(928) 344-0425 (928) 783-8831 (928) 726-6700 (623) 933-0022 (623) 583-5482 (623) 584-6161 (623) 933-7722 (928) 425-3118 (928) 474-6896 (928) 428-4910 (520) 586-2372 (520) 364-7937 (520) 625-0178 (520) 361-1800 (520) 459-4900 (520) 458-1050 (520) 384-3541 (520) 297-8311 (520) 797-1191 (520) 797-2600 (520) 296-6100
(928) 344-4526 (928) 329-0149 (928) 344-1413 (623) 933-0532 (623) 583-1465 (623) 546-6487 (623) 933-9796 (928) 425-0707 (928) 474-6997 (928) 428-4113 (520) 586-7003 (520) 805-9146 (520) 625-7107 (520) 361-5636 (520) 458-4082 (520) 458-6944 (520) 384-9212 (520) 544-0930 (520) 742-3437 (520) 575-6234 (520) 721-3601
128 A 143 B 120 A 118 C 58 A 132 A 128 A 96 A 163 B 128 B 60 A 64 A 115 A 60 NOT APPLICABLE 100 A 152 B 24 A 240 B 128 A 120 A 120 A
NCI-338 NCI-392 NCI-301 NCI-323 NCI-408 NCI-446 NCI-337
Hacienda Rehabilitation and Care Center Life Care Center of Sierra Vista Northern Cochise Nursing Home Desert Life Rehabilitation and Care Center La Canada Care Center Mountain View Care Center Villa Campana Health Care
Tuesday, August 01, 2006
Page 7 of 9
LTC0031 LTC0074 LTC0006 LTC0129 LTC0099 LTC0102 LTC0053 LTC0068 LTC0001 LTC0111 LTC0078 LTC0073 LTC0193 LTC0057 LTC0075 LTC0081 LTC0179 LTC0003 LTC0035 LTC0050 LTC0051
NCI-318 NCI-298 NCI-279 NCI-419 NCI-241 NCI-263 NCI-2643 NCI-2639 NCI-2634 NCI-396 NCI-373 NCI-340 NCI-2515 NCI-387 NCI-321 NCI-358 NCI-1500 NCI-366 NCI-346 NCI-348 NCI-306
Devon Gables Health Care Center Posada Del Sol Health Care Center Sabino Canyon Rehabilitation & Care Center The Health Care Center at the Forum at Tucson Valley Health Care & Rehabilitation Center Villa Maria Care Center, LLC La Colina Care Center Park Waverly Healthcare, LLC PRESIDIO HEALTH ASSOCIATES INC Life Care Center of Tucson Infinia at Show Low Infinia at Flagstaff The Peaks, A Senior Living Community Las Fuentes Care Center Prescott Samaritan Village Mountain View Manor Prescott Valley Samaritan Ctr Infinia at Camp Verde Infinia at Cottonwood Kachina Point Health Center Desert Highlands Care Center
6150 EAST GRANT ROAD 2250 NORTH CRAYCROFT 5830 EAST PIMA STREET 2500 NORTH ROSEMONT BOULEVARD 5545 EAST LEE STREET 4310 EAST GRANT ROAD 2900 EAST MILBER STREET 2001 NORTH PARK AVENUE 2611 NORTH WARREN AVENUE 6211 NORTH LA CHOLLA BOULEVARD 2401 EAST HUNT STREET 800 WEST UNIVERSITY AVE 3150 N. WINDING BROOK RD. 1045 SCOTT DRIVE 1030 SCOTT DRIVE 1045 SANDRETTO DRIVE 3380 NORTH WINDSONG DRIVE 15 EAST HIGHWAY 260 197 SOUTH WILLARD STREET 505 JACKS CANYON RD 1081 KATHLEEN AVE
TUCSON TUCSON T UCSON TUCSON T UCSON TUCSON TUCSON TUCSON TUCSON TUCSON SHOW LOW FLAGSTAFF EAST FLAGSTAFF PRESCOTT PRESCOTT P RESCOT T
AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ
85712 85712 85712 85712 85712 85712 85714 85719 85719 85741 85901 86001 86001 86301 86301 86305 86314 86322 86326 86351 86401
(520) 296-6181 (520) 733-8700 (520) 722-5515 (520) 795-7892 (520) 296-2306 (520) 323-9351 (520) 294-0005 (520) 882-6151 (520) 795-9574 (520) 575-0900 (928) 537-5333 (928) 779-6931 (928) 774-7106 (928) 778-9603 (928) 778-2450 (928) 778-4837 (928) 775-0045 (928) 567-5253 (928) 634-5548 (928) 284-1000 (928) 753-5580
(520) 298-0997 (520) 733-8980 (520) 886-8082 (520) 319-4078 (520) 296-4072 (520) 323-6490 (520) 294-0076 (520) 620-1547 (520) 321-4983 (520) 575-0483 (928) 537-1762 (928) 779-2180 (928) 213-0831 (928) 778-5909 (928) 778-2067 (928) 445-8311 (928) 775-2752 (928) 567-3794 (928) 634-9602 (928) 284-0626 (928) 753-3880
312 B 156 A 112 A 67 A 143 A 93 B 240 A 200 B 102 A 162 A 100 A 80 B 58 C 128 B 80 B 116 B 80 A 118 A 80 C 120 A 120 A
PRESCOTT VALLEY AZ CAMP VERDE COTTONW OOD SEDONA KINGMAN AZ AZ AZ AZ
Tuesday, August 01, 2006
Page 8 of 9
LTC0190 LTC0199 LTC0055 LTC0181 LTC0090
NCI-1979 NCI-2635 NCI-355 NCI-1209 NCI-353
Gardens Care Center The Lingenfelter Center Havasu Nursing Center Lake Hills Inn Silver Ridge Village
3131 WESTERN AVENUE 1099 SUNRISE AVENUE 3576 KEARSAGE DR 2781 OSBORN DRIVE 2812 SILVER CREEK ROAD
KINGMAN KINGMAN
AZ AZ
86401 86401 86406 86406 86442
(928) 718-0718 (928) 718-0718 (928) 453-1500 (928) 505-5552 (928) 763-1404
(928) 718-1177 (928) 718-1729 (928) 453-6675 (928) 505-2660 (928) 763-9795
128 A 88 A 118 A 104 A 120 A
LAKE HAVASU CITY AZ LAKE HAVASU CITY AZ BULLHEAD CITY AZ
SUBTYPE STATE ONLY FACILITY
ID
LTC0194 LTC0079 LTC0095
TOTAL = 3
ADDRESS
7501 EAST THOMPSON PEAK PARKWAY 10015 ROYAL OAK ROAD 12415 NORTH 103RD AVE
LICENSE
NCI-2616 NCI-342 NCI-258
LEGAL NAME
Classic Residence by Hyatt at Grayhawk Royal Oaks Health Care Ctr Sun Valley Lodge
CITY
SCOTTSDALE SUN CITY SUN CITY
ST
AZ AZ AZ
ZI P
85255 85351 85351
TELEPHONE
(480) 659-5100 (623) 933-2807 (623) 933-0137
FAX
(480) 659-5166 (623) 815-4164 (623) 933-5846
BEDS QUALITY RATING
36 EXCELLENT 124 A 64 A
Tuesday, August 01, 2006
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