Leisure Times Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10340H Issued in AZ

Legal business name

LEISURE TIMES HOME LLC

Practice address

11678 W Yucca CT
Surprise, AZ 85378-2518

Phone

(623) 399-2349

Fax

(623) 505-4239

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Amalia Cimpean

Title

Owner/Administrator

Phone

(623) 399-2349

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1356864037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15653 W REDFIELD RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795628",
            "telephone_number": "623-399-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11678 W YUCCA CT",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853782518",
            "telephone_number": "623-399-2349",
            "fax_number": "623-505-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE TIMES HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CIMPEAN",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "623-399-2349"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL10340H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Legg, DC
• Paulette Leguizamon, CFNP
• Douglas J Lehman, PT
• Brittney S Leis, MOT, OTR/L
• Leisure Times Home
• Deborah Ann Leisure, LPN
• Sharon Lentz, M.A., PSY.D.
• Sarah Alicia Lenzi, RBT
• Megan Renae Leon, LDO
• Melissa Leon

• Assisted Living Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.