Buena Suerte, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BUENA SUERTE, INC.

Practice address

387 Lake Havasu Ave S
Suite 102
Lake Havasu City, AZ 86403-9306

Phone

(928) 855-0005

Fax

(928) 855-0075

NPI assigned

Jul 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher L Gamble

Title

President

Phone

(301) 639-3822

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Comfort Keepers #697 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304121600000",
    "number": "1003128349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 LAKE HAVASU AVE S",
            "address_2": "SUITE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039306",
            "telephone_number": "928-855-0005",
            "fax_number": "928-855-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 LAKE HAVASU AVE S",
            "address_2": "SUITE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039306",
            "telephone_number": "928-855-0005",
            "fax_number": "928-855-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA SUERTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2011-04-30",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-639-3822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "531351",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #697",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie R Brison, APRN
• Sandra Marie Bronni, M.D.
• Brookeside LLC
• Pamela Robin Brookman
• Jackson Thomas Lee Buckman, OD
• Ryan Newell Bullen, DMD, DHSC
• Rhett Melvin Burgener, OD
• Derek M Burnett, MD
• Lynn Marie Burns, RN
• Jeremy Burress

• In Home Supportive Care Agency in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.