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

Lifestream Complete Senior Living at Northeast Phoenix, Inc

Organization Skilled Nursing Facility · NPI 1508309196

Lifestream Complete Senior Living at Northeast Phoenix, Inc is a Skilled Nursing Facility in Phoenix, Arizona. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20802 N Cave Creek Rd Bldg 85
Phoenix, AZ 85024
Phone: (602) 569-0508
Fax: (602) 569-0301
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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

Record details

NPI number1508309196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Taylor — Executive Vice President/Coo · (623) 933-3333
Other names Lifestream At Northeast Phoenix Green House 85
NPI enumeratedNovember 30, 2016
Last updated in NPPESNovember 30, 2016
Mailing address11555 W. Peoria Avenue, Youngtown, AZ 85363

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