Sam Ile

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Practice address

40401 N. Copper Basin Trail
Anthem, AZ 85086-8508

Phone

(602) 909-9550

Fax

(623) 321-8797

NPI assigned

Mar 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Azmobilemd

  • Geriatric Medicine (Internal Medicine) Physician
  • Anthem, AZ
  • NPI 1689126971
  NPD Authorized official
• Encore Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1255043816
  NPD
• Encore Hospice LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1912861725
  NPD

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1326508953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39506 N. DAISY MOUNTAIN DRIVE",
            "address_2": "STE 122-627",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "602-909-9550",
            "fax_number": "623-321-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40401 N. COPPER BASIN TRAIL",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850868508",
            "telephone_number": "602-909-9550",
            "fax_number": "623-321-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILE",
        "first_name": "SAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah D Huber, OTR
• Eryn S Hunter, MSN, FNP-C
• I DRS, Inc.
• Ideal Dental Anthem PLLC
• Idrs Inc
• Helene M Illston, M.T.
• Infinite Path Solutions LLC
• Integrity Wound Healing Solutions LLC
• Interaactive Speech Therapy
• Chelsea Lynn Jackson

• Assisted Living Facility (Behavioral Disturbances) in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.