NPIMap

Organization Active NPI

Serendipity Lifestyles LLC

  • Adult Care Home Facility
  • Gilbert, AZ
National Provider Identifier
1124431176
Registry record updated Jun 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HHA6368 Issued in AZ
Legal business name
SERENDIPITY LIFESTYLES LLC
Practice address
3693 E Bart St
Gilbert, AZ 85295-4655
Phone
(480) 747-0848
NPI assigned
Jun 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2014

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

Authorized official

Name
Tracy Sulzer, RN,BSN,BHANPI 1255046579
Title
Administrator
Phone
(480) 747-0848

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
Adult Care Home Facility 311ZA0620X HHA6368 AZ Primary

Addresses

Primary practice location

3693 E Bart St
Gilbert, AZ 85295-4655

Mailing address

3693 E Bart St
Gilbert, AZ 85295-4655
Phone (480) 747-0848

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": "1402099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402099200000",
    "number": "1124431176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3693 E BART ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954655",
            "telephone_number": "480-747-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3693 E BART ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954655",
            "telephone_number": "480-747-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY LIFESTYLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-07",
        "last_updated": "2014-06-07",
        "status": "A",
        "authorized_official_last_name": "SULZER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-747-0848",
        "authorized_official_credential": "RN,BSN,BHA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "HHA6368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; 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.