Active NPI
Sanctuary Assisted Living ,LLC
- Assisted Living Facility
- Surprise, AZ
National Provider Identifier
1316517626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SANCTUARY ASSISTED LIVING ,LLC
- Practice address
- 18003 W Mauna Loa LN
Surprise, AZ 85388-7643 - Phone
- (602) 339-3617
- Fax
- (623) 399-6561
- NPI assigned
- Jun 29, 2021
- 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
- Denisa Kaporalis
- Title
- Owner
- Phone
- (602) 339-3617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
18003 W Mauna Loa LN
Surprise, AZ 85388-7643
Mailing address
18003 W Mauna Loa LN
Surprise, AZ 85388-7643
Phone (602) 339-3617
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624924800000",
"number": "1316517626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18003 W MAUNA LOA LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853887643",
"telephone_number": "602-339-3617",
"fax_number": "623-399-6561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18003 W MAUNA LOA LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853887643",
"telephone_number": "602-339-3617",
"fax_number": "623-399-6561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUARY ASSISTED LIVING ,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A",
"authorized_official_last_name": "KAPORALIS",
"authorized_official_first_name": "DENISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-339-3617"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.