Lynne'S Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LYNNE'S ASSISTED LIVING HOME

Practice address

17628 W Pershing St
Surprise, AZ 85388-5022

Phone

(623) 221-1997

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Suprien Nicole

Title

Owner

Phone

(702) 292-9169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1427711209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17628 W PERSHING ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853885022",
            "telephone_number": "623-221-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17628 W PERSHING ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853885022",
            "telephone_number": "623-221-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE'S ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "NICOLE",
        "authorized_official_first_name": "SUPRIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-292-9169"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 18, 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.