NPIMap

Organization Active NPI

Sun Health Grandview Terrace, LLP

  • Clinic/Center
  • Sun City West, AZ
National Provider Identifier
1295992246
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OTC 3844 Issued in AZ
Legal business name
SUN HEALTH GRANDVIEW TERRACE, LLP
Practice address
14515 W Granite Valley Dr
Sun City West, AZ 85375-6021
Phone
(623) 975-8042
NPI assigned
May 19, 2008
Organization subpart
Yes
Parent organization
SUN HEALTH GRANDVIEW TERRACE, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Bhakti Gosalia
Title
Executive Director
Phone
(623) 975-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OTC 3844 AZ Primary

Addresses

Primary practice location

14515 W Granite Valley Dr
Sun City West, AZ 85375-6021

Mailing address

14515 W Granite Valley Dr
Sun City West, AZ 85375-6021
Phone (623) 975-8042

Other identifiers 1

IdentifierTypeStateIssuer
OTC 3844OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE

Other names 1

  • Grandview Clinic Other name

National Provider Directory

National Provider Directory
Part of
Sun Health Grandview Terrace LLP

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1295992246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 W GRANITE VALLEY DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756021",
            "telephone_number": "623-975-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14515 W GRANITE VALLEY DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756021",
            "telephone_number": "623-975-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN HEALTH GRANDVIEW TERRACE, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN HEALTH GRANDVIEW TERRACE, LLP",
        "enumeration_date": "2008-05-19",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "GOSALIA",
        "authorized_official_first_name": "BHAKTI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "623-975-8030"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "OTC 3844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE",
            "identifier": "OTC 3844",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandview Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.