Individual provider Active NPI

Sandra Nmesoma Osuala

  • Assisted Living Facility
  • Laveen, AZ
National Provider Identifier
1114821501
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH20388 Issued in AZ
Practice address
5341 W la Salle St
Laveen, AZ 85339-2471
Phone
(602) 653-6308
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH20388 AZ Primary

Addresses

Primary practice location

5341 W la Salle St
Laveen, AZ 85339-2471

Mailing address

5341 W la Salle St
Laveen, AZ 85339-2471
Phone (602) 653-6308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1114821501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 W LA SALLE ST",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392471",
            "telephone_number": "602-653-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 W LA SALLE ST",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392471",
            "telephone_number": "602-653-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUALA",
        "first_name": "SANDRA",
        "middle_name": "NMESOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH20388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.