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LIFESTREAM AT THUNDERBIRD
NPI 1881674414
Assisted Living Facility in Glendale, AZ

Active since January 19, 2006
13617 N 55TH AVE, GLENDALE, AZ 85304(602) 938-5500(602) 843-9530 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lifestream At Thunderbird NPPES

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

LIFESTREAM AT THUNDERBIRD (NPI 1881674414) is a healthcare organization registered as an assisted living facility in Glendale, Arizona and active in the NPI registry since January 2006. The organization lists Rod Kemp, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1881674414
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD INC
Location Address13617 N 55TH AVEGlendale, AZ 85304-4701
Mailing Address13617 N 55th AveGlendale, AZ 85304-4701 · (602) 938-5500 · Fax (602) 843-9530
Phone(602) 938-5500
Fax(602) 843-9530
Organization SubpartNo
Authorized OfficialRod KempChief Financial Officer · (623) 933-3333
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJune 29, 2012
✔ NPI 1881674414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AZ · ALC-4809
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
13617 N 55TH AVE, Glendale, AZ 85304
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Other Names 1

Doing Business AsLifestream At Thunderbird

Other Identifiers 3

MedicaidE2103020AZ
MedicaidEVC00600003119AZ
Medicaid622854AZ

Other Providers at the Same Location NPPES

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

JOHN C. LINCOLN, LLC
Family Medicine
13617 N 55TH AVE
GLENDALE, AZ 85304
Maricopa County (602) 544-8541

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 At Thunderbird Inc's NPI number?

The NPI number for Lifestream Complete Senior Living At Thunderbird Inc is 1881674414. It was assigned to this organization in the NPPES registry on January 19, 2006. The provider is doing business as Lifestream At Thunderbird.

Where is Lifestream Complete Senior Living At Thunderbird Inc located?

Lifestream Complete Senior Living At Thunderbird Inc is located at 13617 N 55th Ave, Glendale, AZ 85304. The listed phone number is (602) 938-5500.

What is Lifestream Complete Senior Living At Thunderbird Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Lifestream Complete Senior Living At Thunderbird Inc was last updated on June 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.