LIFESTREAM COMPLETE SENIOR LIVING AT COOK HEALTH CARE SUITE 500 ASSIST
NPI 1043753635
Skilled Nursing Facility in Youngtown, AZ

Active since November 30, 2016CLIA 03D1060847 · Waiver
11527 W. PEORIA AVENUE, SUITE 500, YOUNGTOWN, AZ 85363(623) 972-2371(623) 972-7320 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifestream Complete Senior Living At Cook Health Care Suite 500 Assist NPPES

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

LIFESTREAM COMPLETE SENIOR LIVING AT COOK HEALTH CARE SUITE 500 ASSIST (NPI 1043753635) is a healthcare organization registered as a skilled nursing facility in Youngtown, Arizona and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Donna Taylor, Executive Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1043753635
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIFESTREAM COMPLETE SENIOR LIVING, INC.
Location Address11527 W. PEORIA AVENUE, SUITE 500Youngtown, AZ 85363
Mailing Address11555 W. Peoria AvenueYoungtown, AZ 85363 · (623) 933-3333 · Fax (623) 972-7320
Fax(623) 972-7320
Organization SubpartNo
Authorized OfficialDonna TaylorExecutive Vice President/coo · (623) 933-3333
Enumeration DateNovember 30, 2016
NPI 1043753635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
11527 W. PEORIA AVENUE, Youngtown, AZ 85363

Other Names 1

Doing Business AsLifestream Complete Senior Living At Cook Health Care Suite 500 Assist

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 03D1060847

Lifestream Complete Senior Living At Youngtown · Youngtown, AZ
Active · expires Nov 1, 2026
CLIA Number03D1060847
Laboratory TypeOther
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorCindy Sommer
Laboratory Phone(623) 972-2371
Laboratory LocationLifestream Complete Senior Living At Youngtown11315 West Peoria Avenue, Youngtown, AZ 85363
CLIA data matches this NPI record on: Name Phone
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 Lifestream Complete Senior Living, Inc.'s NPI number?

The NPI number for Lifestream Complete Senior Living, Inc. is 1043753635. It was assigned to this organization in the NPPES registry on November 30, 2016. The provider is doing business as Lifestream Complete Senior Living At Cook Health Care Suite 500 Assist.

Where is Lifestream Complete Senior Living, Inc. located?

Lifestream Complete Senior Living, Inc. is located at 11527 W. Peoria Avenue Suite 500, Youngtown, AZ 85363. The listed phone number is (623) 972-2371.

What is Lifestream Complete Senior Living, Inc.'s specialty?

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

Does Lifestream Complete Senior Living, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1060847) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifestream Complete Senior Living, Inc. was last updated on November 30, 2016. 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.