Active NPI
Lorna Enterprises,LLC
- Assisted Living Facility
- Surprise, AZ
National Provider Identifier
1245729995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL7402H
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405898 | Medicaid | AZ |
Other names 1
- Peachtree Assisted Living Home
National Provider Directory
National Provider DirectoryNPI 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.