Organization Active NPI

Surprise Memory Care, LP

  • Assisted Living Facility
  • Surprise, AZ
National Provider Identifier
1023512753
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9995C Issued in AZ
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

Updated by the provider on Mar 19, 2018

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2113425Surprise Memory Care16465 N Parkview Place, Surprise, AZ 85374Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.