PRESCOTT NURSING AND REHABILITATION CENTER LLC
NPI 1407191588
Skilled Nursing Facility in Prescott, AZ

Active since November 30, 2012
864 DOUGHERTY ST, PRESCOTT, AZ 86305(928) 778-9667(520) 393-1044 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Prescott Nursing And Rehabilitation Center Llc NPPES

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

PRESCOTT NURSING AND REHABILITATION CENTER LLC (NPI 1407191588) is a healthcare organization registered as a skilled nursing facility in Prescott, Arizona and active in the NPI registry since November 2012. The organization lists Carl Zimmerman, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1407191588
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRESCOTT NURSING AND REHABILITATION CENTER LLC
Location Address864 DOUGHERTY STPrescott, AZ 86305-1841
Mailing Address150 N La Canada DrGreen Valley, AZ 85614-3129 · (520) 352-3018 · Fax (520) 393-1044
Fax(520) 393-1044
Organization SubpartNo
Authorized OfficialCarl ZimmermanSenior Vice President · (520) 352-3019
Enumeration DateNovember 30, 2012
Last NPPES UpdateJanuary 28, 2013
NPI 1407191588 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-379
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.
864 DOUGHERTY ST, Prescott, AZ 86305

Other Identifiers 1

Medicare OSCAR/certification035127AZ

Accepted Insurance

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.

Physician Assistant
864 DOUGHERTY ST
PRESCOTT, AZ 86305
Skilled Nursing Facility
864 DOUGHERTY ST
PRESCOTT, AZ 86305
Skilled Nursing Facility
864 DOUGHERTY ST
PRESCOTT, AZ 86305
Clinic/Center (Physical Therapy)
864 DOUGHERTY ST
PRESCOTT, AZ 86305
Physical Therapist (Geriatrics)
864 DOUGHERTY ST
PRESCOTT, AZ 86305

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 Prescott Nursing And Rehabilitation Center LLC's NPI number?

The NPI number for Prescott Nursing And Rehabilitation Center LLC is 1407191588. It was assigned to this organization in the NPPES registry on November 30, 2012.

Where is Prescott Nursing And Rehabilitation Center LLC located?

Prescott Nursing And Rehabilitation Center LLC is located at 864 Dougherty St, Prescott, AZ 86305. The listed phone number is (928) 778-9667.

What is Prescott Nursing And Rehabilitation Center LLC's specialty?

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

What insurance does Prescott Nursing And Rehabilitation Center LLC accept?

Health plans from Imperial Insurance Companies, Inc. list Prescott Nursing And Rehabilitation Center 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 Prescott Nursing And Rehabilitation Center LLC was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.