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

Prescott Nursing and Rehabilitation Center LLC

Organization Skilled Nursing Facility · NPI 1407191588

Prescott Nursing and Rehabilitation Center LLC is a Skilled Nursing Facility in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
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

864 Dougherty St
Prescott, AZ 86305-1841
Phone: (928) 778-9667
Fax: (520) 393-1044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence NCI-379 (AZ)

Record details

NPI number1407191588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Zimmerman — Senior Vice President · (520) 352-3019
NPI enumeratedNovember 30, 2012
Last updated in NPPESJanuary 28, 2013
Mailing address150 N La Canada Dr, Green Valley, AZ 85614-3129

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