Sunrise Gardens Assisted Living LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

SUNRISE GARDENS ASSISTED LIVING LLC

Practice address

13045 W Port Royale LN
El Mirage, AZ 85335-3428

Phone

(623) 289-7165

NPI assigned

Jul 16, 2024

Organization subpart

Yes

Parent organization

SUNRISE GARDENS ASSISTED LIVINGAs reported in NPPES

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

Authorized official

Name

Sunrise Gardens Assisted Living

Title

Manager

Phone

(623) 289-7165

Specialties & licenses 1

Addresses

Other names 1

• SUNRISE GARDENS ASSISTED LIVING LLC Former legal business name

Part of

Sunrise Gardens Assisted Living LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gladys Tih Owuor

  • Assisted Living Facility
  • El Mirage, AZ
  • NPI 1780428763
  NPD

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1063250025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13524 W READE AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404019",
            "telephone_number": "602-592-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13045 W PORT ROYALE LN",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353428",
            "telephone_number": "623-289-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE GARDENS ASSISTED LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE GARDENS ASSISTED LIVING",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "LIVING",
        "authorized_official_first_name": "SUNRISE",
        "authorized_official_middle_name": "GARDENS ASSISTED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-289-7165"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE GARDENS ASSISTED LIVING LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christina Solares
• Southwest Psychological Assessments LLC
• Alina Stanca, FNP
• Julie Stinson, NBC-HWC
• Matthew R Stumpf, PHARMD
• Sweet Serenity Advocacy LLC
• Rosemary Swierk, R.N.
• Rayclyn Celine Kealani Takushi
• Kyla Teske, ABOC, NCLEC, LDO
• The Way Home Behavioral Health, LLC

• Assisted Living Facility (Behavioral Disturbances) in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.