Active NPI
Surprise Memory Care, LP
- Assisted Living Facility
- Surprise, AZ
National Provider Identifier
1023512753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL9995C
- Legal business name
- SURPRISE MEMORY CARE, LP
- Practice address
- 16465 N Parkview PL
Surprise, AZ 85374-7494 - Phone
- (623) 266-4999
- Fax
- (623) 251-5022
- NPI assigned
- Mar 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Romayo, CDP
- Title
- Executive Director
- Phone
- (623) 266-4999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL9995C | AZ | Primary |
Addresses
Primary practice location
16465 N Parkview PL
Surprise, AZ 85374-7494
Mailing address
16465 N Parkview PL
Surprise, AZ 85374-7494
Phone (623) 266-4999
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2113425 | Surprise Memory Care | Certificate of waiver | May 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
16465 N Parkview Pl
Surprise, AZ 85374
Phone (480) 900-4576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521417600000",
"number": "1023512753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16465 N PARKVIEW PL",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747494",
"telephone_number": "623-266-4999",
"fax_number": "623-251-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16465 N PARKVIEW PL",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747494",
"telephone_number": "623-266-4999",
"fax_number": "623-251-5022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURPRISE MEMORY CARE, LP",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A",
"authorized_official_last_name": "ROMAYO",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "623-266-4999",
"authorized_official_credential": "CDP"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL9995C",
"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 Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.