At Sugi's Assisted Living LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

AT SUGI'S ASSISTED LIVING LLC

Doing business as

At Sugi's Assisted Living LLC

Practice address

12241 W Ocotillo LN
El Mirage, AZ 85335-6911

Phone

(602) 348-4980

Fax

(602) 853-4010

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Suzanne Giselle Calderon

Title

Care Giver

Phone

(602) 348-4980

Specialties & licenses 1

Addresses

Other names 1

• At Sugi's Assisted Living LLC Doing business as

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1194557512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 W OCOTILLO LN",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853356911",
            "telephone_number": "602-348-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12241 W OCOTILLO LN",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853356911",
            "telephone_number": "602-348-4980",
            "fax_number": "602-853-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT SUGI'S ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "GISELLE",
        "authorized_official_title_or_position": "CARE GIVER",
        "authorized_official_telephone_number": "602-348-4980",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Sugi's Assisted Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.