Surprise Residential Assisted Living

LBN: Surprise Residential Assisted Living
Surprise Residential Assisted Living is an health care organization with primary practice located at 17218 W Statler St , Surprise AZ 85388-1265. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Surprise Residential Assisted Living can be contacted via phone (602) 369-1254, or through Barry, Shaiba via phone (602) 404-8196.

Contact Information

Primary practice address
17218 W Statler St Surprise AZ 85388-1265
Phone: (602) 369-1254
Fax: (602) 595-1659
Website:
Map and Directions
Authorized official contact:
Name: Barry, Shaiba REGISTERED NURSE
Phone: (602) 404-8196

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X Arizona

Profile Details

NPI number 1053539700
LBN Legal business name Surprise Residential Assisted Living
DBA Doing business as
Authorized official Barry, Shaiba REGISTERED NURSE
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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