Immanuel Caring Ministries, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI066 Issued in AZ

Legal business name

IMMANUEL CARING MINISTRIES, INC.

Practice address

11301 N 99TH Ave
Peoria, AZ 85345-5466

Phone

(623) 977-8373

Fax

(623) 974-4849

NPI assigned

Jun 29, 2005

Last updated

Apr 16, 2026By 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

Barbara Ann Byrum-Nielsen

Title

Director of Finance

Phone

(623) 977-8373

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Immanuel Campus of Care Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265439889. Details of each certification follow.

• CCN 035250 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 035250

Legal name

IMMANUEL CARING MINISTRIES, INC.

Doing business as

IMMANUEL CAMPUS OF CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 18, 1998

Last certification

Jan 31, 2025

Beds

228

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 6, 1998 in AZ

Enrollment address

11301 N 99TH Ave
Peoria, AZ 85345-5466

Nursing home name

IMMANUEL CAMPUS OF CARE

Listed as

Immanuel Campus Of CareCCN 035250 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Nov 18, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

228172.4 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $18,529

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Susan McCarthy-Robinson, NMHNP

  • Adult Health Nurse Practitioner
  • Goodyear, AZ
  • NPI 1437964723

  Adp of the SNF, Corporate Director, Operational/Managerial Control

  CMS ownership
• William Nassour, MD

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1104131820

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Huixu Liang, M. D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1154648749
  NPD (past)
• William Nassour, MD

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1104131820
  NPD (past)
• Carol Anne Newman, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1497861157
  NPD (past)

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1265439889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 N 99TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455466",
            "telephone_number": "623-977-8373",
            "fax_number": "623-974-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 N 99TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455466",
            "telephone_number": "623-977-8373",
            "fax_number": "623-974-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUEL CARING MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "BYRUM-NIELSEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "623-977-8373"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC4369",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447591",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Immanuel Campus of Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Immanuel Campus of Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Immanuel Campus of Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Skilled Nursing Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.