NPIMap

Organization Active NPI

Sun Health Services

  • Community Health Clinic/Center
  • Surprise, AZ
National Provider Identifier
1326463779
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SUN HEALTH SERVICES
Practice address
14719 W Grand Ave
Surprise, AZ 85374-7203
Phone
(623) 471-9355
Fax
(623) 213-8523
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Barbara Mason
Title
Vice President
Phone
(623) 975-7710

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X
Community Health Clinic/Center 261QC1500X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

14719 W Grand Ave
Surprise, AZ 85374-7203

Mailing address

14719 W Grand Ave
Surprise, AZ 85374-7203
Phone (623) 471-9355

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sunhealthwellness.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180515002649 AZ MDPP Supplier - in-Person MDPP Supplier 6800029083 Practice locations: Sun City, AZ; Surprise, AZ

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

13180 N 103rd Dr
Sun City, AZ 85351
Phone (623) 832-9355

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sun Health la Loma Care CenterLitchfield Park, AZ, CCN 035264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Aug 31, 2010
Aug 31, 2010
Aug 31, 2010
Freedom Plaza Care CenterPeoria, AZ, CCN 035256 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 4, 2018
Sun Health Grandview Care CenterSun City West, AZ, CCN 035265 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Jul 1, 2011
Jul 1, 2011
Jul 1, 2011
Jul 1, 2011

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1326463779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14719 W GRAND AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747203",
            "telephone_number": "623-471-9355",
            "fax_number": "623-213-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14719 W GRAND AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747203",
            "telephone_number": "623-471-9355",
            "fax_number": "623-213-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2021-05-27",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "623-975-7710"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sunhealthwellness.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14719 W Grand Ave",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853747203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.