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HERITAGE HEALTHCARE
NPI 1164677571
Nursing Facility/Intermediate Care Facility in Carefree, AZ

Active since November 26, 2008CLIA 03D2207408 · Waiver
36590 N. PIMA ROAD, CAREFREE, AZ 85377(480) 488-1622 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Healthcare NPPES

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

HERITAGE HEALTHCARE (NPI 1164677571) is a healthcare organization registered as a nursing facility/intermediate care facility in Carefree, Arizona and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Donna Daniela Holbura, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164677571
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameHERITAGE AT CAREFREE
Location Address36590 N. PIMA ROADCarefree, AZ 85377-3481
Mailing AddressPo Box 3481Carefree, AZ 85377-3481 · (480) 488-1622
Phone(480) 488-1622
Organization SubpartNo
Authorized OfficialDonna Daniela HolburaExecutive Director · (480) 488-1622
Enumeration DateNovember 26, 2008
✔ NPI 1164677571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in AZ · ALC-5482
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
36590 N. PIMA ROAD, Carefree, AZ 85377
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Other Names 1

Other NameHeritage Healthcare

Other Identifiers 1

Medicaid251831AZ

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 03D2207408

Heritage At Carefree Senior Living · Carefree, AZ
Active · expires Dec 27, 2026
CLIA Number03D2207408
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorSheryl Greenspan
Laboratory Phone(480) 488-1622
Laboratory LocationHeritage At Carefree Senior Living36590 N Pima Rd #3481, Carefree, AZ 85377
CLIA data matches this NPI record on: Address 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 Heritage At Carefree's NPI number?

The NPI number for Heritage At Carefree is 1164677571. It was assigned to this organization in the NPPES registry on November 26, 2008. The provider is also known as Heritage Healthcare.

Where is Heritage At Carefree located?

Heritage At Carefree is located at 36590 N. Pima Road, Carefree, AZ 85377. The listed phone number is (480) 488-1622.

What is Heritage At Carefree's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Heritage At Carefree hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2207408) is associated with this NPI, valid through December 27, 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 Heritage At Carefree was last updated on November 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.