CORONADO CARE CENTER
NPI 1376535674
Skilled Nursing Facility in Phoenix, AZ

Active since August 22, 2005CLIA 03D0641889 · Waiver
11411 N 19TH AVE, PHOENIX, AZ 85029(602) 256-7500(602) 943-7697 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Coronado Care Center NPPES

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

CORONADO CARE CENTER (NPI 1376535674) is a healthcare organization registered as a skilled nursing facility in Phoenix, Arizona and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1376535674
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTH MOUNTAIN HEALTHCARE LLC
Location Address11411 N 19TH AVEPhoenix, AZ 85029-3642
Mailing Address11411 N 19th AvePhoenix, AZ 85029-3642 · (602) 256-7500 · Fax (602) 943-7697
Fax(602) 943-7697
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 540-1249
Enumeration DateAugust 22, 2005
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
NPI 1376535674 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-2637
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.
11411 N 19TH AVE, Phoenix, AZ 85029

Other Names 1

Doing Business AsCoronado Care Center

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 03D0641889

Coronado Healthcare Center · Phoenix, AZ
Active · expires Jun 6, 2027
CLIA Number03D0641889
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorChintan Mehta
Laboratory Phone(602) 256-7500
Laboratory LocationCoronado Healthcare Center11411 N 19th Ave, Phoenix, AZ 85029
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
11411 N 19TH AVE
PHOENIX, AZ 85029
Physical Therapy Assistant
11411 N 19TH AVE
PHOENIX, AZ 85029
Home Health Aide
11411 N 19TH AVE
PHOENIX, AZ 85029
Physical Therapist
11411 N 19TH AVE
PHOENIX, AZ 85029
Physical Therapist
11411 N 19TH AVE
PHOENIX, AZ 85029

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 North Mountain Healthcare LLC's NPI number?

The NPI number for North Mountain Healthcare LLC is 1376535674. It was assigned to this organization in the NPPES registry on August 22, 2005. The provider is doing business as Coronado Care Center.

Where is North Mountain Healthcare LLC located?

North Mountain Healthcare LLC is located at 11411 N 19th Ave, Phoenix, AZ 85029. The listed phone number is (602) 256-7500.

What is North Mountain Healthcare LLC's specialty?

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

Does North Mountain Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0641889) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Mountain Healthcare LLC accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list North Mountain Healthcare LLC 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 North Mountain Healthcare LLC was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.