ARIZONA STATE VETERANS' HOME
NPI 1013009745
Skilled Nursing Facility in Phoenix, AZ

Active since September 29, 2006CLIA 03D0907017 · Waiver
4141 NORTH S. HERRERA WAY, PHOENIX, AZ 85012(602) 512-2955(602) 265-3497 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arizona State Veterans' Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIZONA STATE VETERANS' HOME (NPI 1013009745) is a healthcare organization registered as a skilled nursing facility in Phoenix, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists James Ross, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013009745
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSTATE OF ARIZONA STATE DEPT OF FINANCE
Location Address4141 NORTH S. HERRERA WAYPhoenix, AZ 85012
Mailing Address4141 North S. Herrera WayPhoenix, AZ 85012 · (602) 512-2955 · Fax (602) 265-3497
Fax(602) 265-3497
Organization SubpartNo
Authorized OfficialJames RossAdministrator · (602) 248-1591
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMarch 10, 2017
NPI 1013009745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in AZ · NCI-447
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4141 NORTH S. HERRERA WAY, Phoenix, AZ 85012

Other Names 1

Other NameArizona State Veterans' Home

Other Identifiers 2

Medicare OSCAR/certification035234AZ
Medicaid344432AZ

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0907017

Arizona State Veteran Home-Phoenix · Phoenix, AZ
Active · expires Oct 5, 2027
CLIA Number03D0907017
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorMichael Colonna
Laboratory Phone(928) 897-5365
Laboratory LocationArizona State Veteran Home-Phoenix4141 N S Herrera Way, Phoenix, AZ 85012
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Arizona State Dept Of Finance's NPI number?

The NPI number for State Of Arizona State Dept Of Finance is 1013009745. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is also known as Arizona State Veterans' Home.

Where is State Of Arizona State Dept Of Finance located?

State Of Arizona State Dept Of Finance is located at 4141 North S. Herrera Way, Phoenix, AZ 85012. The listed phone number is (602) 512-2955.

What is State Of Arizona State Dept Of Finance's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does State Of Arizona State Dept Of Finance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0907017) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does State Of Arizona State Dept Of Finance accept?

Health plans from UnitedHealthcare list State Of Arizona State Dept Of Finance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Arizona State Dept Of Finance was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.