Organization Active NPI

Serendipity in the Sun II LLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1124724398
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENDIPITY IN THE SUN II LLC
Practice address
10250 N 124TH St
Scottsdale, AZ 85259-5201
Phone
(602) 859-3256
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Randy Mallari, MSN, RN, CNL, CHC
Title
Alf Manager/ Administrator
Phone
(602) 908-8580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10250 N 124TH St
Scottsdale, AZ 85259-5201

Mailing address

10250 N 124TH St
Scottsdale, AZ 85259-5201

Other identifiers 1

IdentifierTypeStateIssuer
AL12323HOtherAZARIZONA DEPARTMENT OF HEALTH SERVICES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1124724398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 N 124TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 N 124TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595201",
            "telephone_number": "602-859-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY IN THE SUN II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "ALF MANAGER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "602-908-8580",
        "authorized_official_credential": "MSN, RN, CNL, CHC"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "AL12323H",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.