Sunnyside Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNNYSIDE ASSISTED LIVING LLC

Practice address

12155 W Davis LN
Avondale, AZ 85323-7692

Phone

(602) 515-6373

Fax

(623) 248-0007

NPI assigned

Aug 1, 2024

Organization subpart

No

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

Authorized official

Name

Alexandra Luciana Gradinariu

Title

Owner

Phone

(602) 515-6373

Specialties & licenses 1

Addresses

Other names 1

• Sunnyside Assisted Living Doing business as

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1144050527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12155 W DAVIS LN",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853237692",
            "telephone_number": "602-515-6373",
            "fax_number": "623-248-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12155 W DAVIS LN",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853237692",
            "telephone_number": "602-515-6373",
            "fax_number": "623-248-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "GRADINARIU",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "LUCIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-515-6373"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.