Sierra Land

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-1504 Issued in AZ

Legal business name

SIERRA LAND

Doing business as

Sunview Care Center

Practice address

12207 N 113TH Ave
Youngtown, AZ 85363-1208

Phone

(623) 977-6532

Fax

(623) 977-6541

NPI assigned

Nov 7, 2005

Last updated

Jul 31, 2009By 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

Mr. James Dood

Title

Administrator

Phone

(623) 977-6532

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sunview Care Center Doing business as

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1295716454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 N 113TH AVE",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631208",
            "telephone_number": "623-977-6532",
            "fax_number": "623-977-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 N 113TH AVE",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631208",
            "telephone_number": "623-977-6532",
            "fax_number": "623-977-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA LAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "DOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-977-6532",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-1504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "AZ0401440",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "538233-.01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunview Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Youngtown, AZ
• Providers in Youngtown, 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 Jul 31, 2009; 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.