Surprise MC, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SURPRISE MC, LLC

Practice address

16465 N Parkview PL
Surprise, AZ 85374-7494

Phone

(480) 900-4576

NPI assigned

Nov 3, 2022

Organization subpart

No

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

Authorized official

Name

Douglas Sproul

Title

Manager

Phone

(503) 391-9999

Specialties & licenses 1

Addresses

Other names 1

• Mosaic Gardens at Surprise Doing business as

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1194432690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HINES ST SE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021338",
            "telephone_number": "503-391-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 N PARKVIEW PL",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747494",
            "telephone_number": "480-900-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE MC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "SPROUL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-391-9999"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Gardens at Surprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surprise Luxury Assisted Living LLC
• Surprise Medical Consultants LLC
• Surprise Medical Group LLC
• Surprise Medical LLC
• Surprise Memory Care, LP
• Surprise Modern Dentistry LLP

• Assisted Living Facility in Surprise, AZ
• Providers in Surprise, 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 Nov 3, 2022; 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.