Big Heart Assisted Living L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9881H Issued in AZ

Legal business name

BIG HEART ASSISTED LIVING L.L.C.

Practice address

15421 N 177TH Dr
Surprise, AZ 85388-3100

Phone

(602) 760-9677

Fax

(623) 594-4858

NPI assigned

Jun 28, 2016

Last updated

Jun 28, 2016By 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

Veronica Preda

Title

Owner/Manager

Phone

(602) 760-9677

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1366893620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15421 N 177TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853883100",
            "telephone_number": "602-760-9677",
            "fax_number": "623-594-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15421 N 177TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853883100",
            "telephone_number": "602-760-9677",
            "fax_number": "623-594-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HEART ASSISTED LIVING L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "PREDA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-760-9677"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9881H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112025",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Karolina Bialowolska-Romaniuk, M.D.
• Hannah Bella Biancamano
• Shayna Bianco
• Serena Bible
• Gregory Bidlack, DC
• Bio-Medical Applications of Arizona, LLC (Fresenius Medical Care Sun City West)
• Biren G. Patel, MD, PC
• Alexis Bischof, CNM
• Kimberly Black, LPN
• Trinity V Black

• 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 28, 2016; 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.