Arizona Premium Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ARIZONA PREMIUM CARE LLC

Practice address

3255 S Dorsey LN Apt 2097
Tempe, AZ 85282-3987

Phone

(480) 721-3000

NPI assigned

Sep 28, 2021

Last updated

Sep 28, 2021By 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

Sulafa Salim

Title

Director

Phone

(480) 721-3000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1336811447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 S DORSEY LN APT 2097",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 S DORSEY LN APT 2097",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823987",
            "telephone_number": "480-721-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PREMIUM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "SULAFA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-721-3000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.