NPIMap

Organization Active NPI

Buena Suerte, Inc.

Doing business as Comfort Keepers #697

  • In Home Supportive Care Agency
  • Lake Havasu City, AZ
National Provider Identifier
1003128349
Registry record updated Apr 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BUENA SUERTE, INC.
Doing business as
Comfort Keepers #697
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
Last updated
Apr 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2011

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

Authorized official

Name
Mr. Christopher L GambleNPI 1336759349
Title
President
Phone
(301) 639-3822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X AZ Primary
Private Vehicle 347C00000X AZ

Addresses

Primary practice location

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

Mailing address

387 Lake Havasu Ave S
Suite 102
Lake Havasu City, AZ 86403-9306
Phone (928) 855-0005

Other names 1

  • Comfort Keepers #697 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #697",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • 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.