LIFESTREAM AT COOK HEALTH CARE
NPI 1447256466
Skilled Nursing Facility in Youngtown, AZ

Active since June 23, 2005CLIA 03D0682546 · Waiver
11527 W PEORIA AVE, YOUNGTOWN, AZ 85363(623) 933-4683(623) 972-4993 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifestream At Cook Health Care NPPES

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

LIFESTREAM AT COOK HEALTH CARE (NPI 1447256466) is a healthcare organization registered as a skilled nursing facility in Youngtown, Arizona and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ronald Estes, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1447256466
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIFESTREAM COMPLETE SENIOR LIVING INC.
Location Address11527 W PEORIA AVEYoungtown, AZ 85363-1640
Mailing Address11527 W Peoria AveYoungtown, AZ 85363-1640 · (623) 933-4683 · Fax (623) 972-4993
Fax(623) 972-4993
Organization SubpartNo
Authorized OfficialRonald EstesChief Financial Officer · (623) 933-3333
Enumeration DateJune 23, 2005
Last NPPES UpdateMay 21, 2013
NPI 1447256466 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-382
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 AVE, Youngtown, AZ 85363

Other Names 1

Doing Business AsLifestream At Cook Health Care

Other Identifiers 6

Other0071-0000168AZ · Unitedhealthcare Nursing Home Plan
Other0073850AZ · Blue Cross Blue Shield
Other010581AZ · Advantage By Bridgeway Health Solutions
Medicare ID-Type Unspecified035137AZ · Medicare Provider #
Other1025871AZ · Mercy Care Advantage
Medicaid040311AZ

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 03D0682546

Lifestream Complete Senior Living At Cook Health Care · Youngtown, AZ
Active · expires Aug 31, 2026
CLIA Number03D0682546
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJennifer Ortiz
Laboratory Phone(623) 933-4683
Laboratory LocationLifestream Complete Senior Living At Cook Health Care11527 W Peoria Ave, Youngtown, AZ 85363
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
11527 W PEORIA AVE
YOUNGTOWN, AZ 85363
Occupational Therapy Assistant
11527 W PEORIA AVE
YOUNGTOWN, AZ 85363
Assisted Living Facility
11527 W PEORIA AVE
YOUNGTOWN, AZ 85363

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 1447256466. It was assigned to this organization in the NPPES registry on June 23, 2005. The provider is doing business as Lifestream At Cook Health Care.

Where is Lifestream Complete Senior Living Inc. located?

Lifestream Complete Senior Living Inc. is located at 11527 W Peoria Ave, Youngtown, AZ 85363. The listed phone number is (623) 933-4683.

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 03D0682546) is associated with this NPI, valid through August 31, 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 May 21, 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.