Organization Active NPI

Lorna Enterprises,LLC

  • Assisted Living Facility
  • Surprise, AZ
National Provider Identifier
1245729995
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7402H Issued in AZ
Legal business name
LORNA ENTERPRISES,LLC
Practice address
15550 W Cameron Dr
Surprise, AZ 85379-1055
Phone
(623) 693-0839
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Mrs. Lorna A Conol
Title
Owner
Phone
(623) 693-0839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7402H AZ Primary

Addresses

Primary practice location

15550 W Cameron Dr
Surprise, AZ 85379-1055

Mailing address

15612 W Shangri la Rd
Surprise, AZ 85379-4795
Phone (623) 693-0839

Other identifiers 1

IdentifierTypeStateIssuer
405898MedicaidAZ

Other names 1

  • Peachtree Assisted Living Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1245729995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15612 W SHANGRI LA RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794795",
            "telephone_number": "623-693-0839",
            "fax_number": "623-234-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15550 W CAMERON DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853791055",
            "telephone_number": "623-693-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORNA ENTERPRISES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "CONOL",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-693-0839",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL7402H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405898",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.