Organization Active NPI

A Loving Heart Assisted Living II

  • Assisted Living Facility
  • Surprise, AZ
National Provider Identifier
1003664640
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
A LOVING HEART ASSISTED LIVING II
Practice address
17450 W Wood Dr
Surprise, AZ 85388-5104
Phone
(571) 334-2343
Fax
(480) 718-7443
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Jamie SkojecNPI 1447039987
Title
Owner
Phone
(571) 334-2343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17450 W Wood Dr
Surprise, AZ 85388-5104

Mailing address

PO Box 6288
Scottsdale, AZ 85261-6288
Phone (571) 334-2343

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.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1003664640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6288",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852616288",
            "telephone_number": "571-334-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17450 W WOOD DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853885104",
            "telephone_number": "571-334-2343",
            "fax_number": "480-718-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LOVING HEART ASSISTED LIVING II",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "SKOJEC",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-334-2343"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.