Surprise Residential Assisted Living in Phoenix - Assisted Living Facility
Surprise Residential Assisted Living - NPI 1053539700
Surprise Residential Assisted Living is a Assisted Living Facility in Phoenix, Arizona. Surprise Residential Assisted Living practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Surprise Residential Assisted Living is 1053539700. The last update date is 2020-08-22.
Surprise Residential Assisted Living's current location address is 17633 N 14th St, Phoenix, Arizona. You can contact this provider via phone number 6024048196 and fax number 6025951659. The mailing address for Surprise Residential Assisted Living is 17633 N 14th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surprise Residential Assisted Living |
|---|---|
| Address | 17633 N 14th St, Phoenix, Arizona |
| Phone Number | 6024048196 |
| Fax Number | 6025951659 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Barry Shaiba |
| Credentials | REGISTERED |
| Telephone Number | 6024048196 |
NPI Number Detail
| NPI Number | 1053539700 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17633 N 14th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850222001 |
| Phone Number | 6024048196 |
| Fax Number | 6025951659 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
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. |
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What is the unique provider identifier assigned to Surprise Residential Assisted Living?
The Surprise Residential Assisted Living has been issued the NPI (National Provider Identifier) 1053539700 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Surprise Residential Assisted Living is physically located?
The Surprise Residential Assisted Living is situated at the following address: 17633 N 14Th St, Phoenix, AZ 850222001.
What is Surprise Residential Assisted Living's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Surprise Residential Assisted Living is Assisted Living Facility, and the corresponding taxonomy classification code for this specialized field is 310400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053539700 to Surprise Residential Assisted Living?
The Centers for Medicare & Medicaid Services assigned the 1053539700 to Surprise Residential Assisted Living on 2007-04-20.
When was the Surprise Residential Assisted Living's information last updated?
The Surprise Residential Assisted Living's information was last updated on 2020-08-22.
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