Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lb Phoenix Bethany Home Road LLC

Organization Skilled Nursing Facility · NPI 1942355219

Lb Phoenix Bethany Home Road LLC is a Skilled Nursing Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6246 N 19th Ave
Phoenix, AZ 85015-1511
Phone: (602) 433-6416
Fax: (602) 433-6458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 035116 (AZ)

Record details

NPI number1942355219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Bausch — General Manager · (602) 433-6416
Other names Chris Ridge Village
NPI enumeratedJanuary 24, 2007
Last updated in NPPESSeptember 28, 2007
Mailing address6246 N 19th Ave, Phoenix, AZ 85015-1511

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