Active NPI
La Loma Senior Living Services, Inc.
Doing business as La Loma Care Center
- Skilled Nursing Facility
- Litchfield Park, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCI-2654
- Legal business name
- LA LOMA SENIOR LIVING SERVICES, INC.
- Doing business as
- La Loma Care Center
- Practice address
- 14260 Denny Blvd
Litchfield Park, AZ 85340-9448 - Phone
- (623) 537-7400
- Fax
- (623) 537-7480
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberley Jane Thompson
- Title
- Chief Experience Officer
- Phone
- (313) 530-7340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NCI-2654 | AZ | Primary |
Addresses
Primary practice location
14260 Denny Blvd
Litchfield Park, AZ 85340-9448
Mailing address
14719 W Grand Ave
Surprise, AZ 85374-7203
Phone (623) 777-2631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440830 | Other | AZ | BCBS OF AZ PROVIDER NUMBE |
Other names 1
- La Loma Care Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | La Loma Senior Living Services, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051130000196 | AZ | Part A Provider - Skilled Nursing Facility | 2365462710 | Practice locations: Litchfield Park, AZ |
Skilled nursing facility certification: CCN 035264
- Legal name
- LA LOMA SENIOR LIVING SERVICES, INC.
- Doing business as
- SUN HEALTH LA LOMA CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Feb 13, 2006
- Last certification
- Mar 28, 2025
- Beds
- 43
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Sun Health Communities
- Organization structure
- Corporation
- Incorporated
- May 1, 2001 in AZ
- Enrollment address
- 14260 S Denny Blvd
Litchfield Park, AZ 85340-9448 - Nursing home name
- SUN HEALTH LA LOMA CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sun Health La Loma Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Feb 13, 2006
- Medicare certification status
- Active
- Certified beds
- 43
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1046321 | Sun Health la Loma Care Center | Certificate of waiver | Oct 4, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Reifsteck | Corporate Director | Sep 1, 2023 | |
| Darryll Hunter | Operational/Managerial Control | Feb 24, 2024 | |
| Adp of the SNF | Feb 24, 2024 | ||
| Mary Cavanaugh-Marsh | Corporate Director | Jul 1, 2023 | |
| Irene H Kovala | Corporate Director | Jul 1, 2017 | |
| Cornelius D Haskell | Corporate Director | Jul 1, 2022 | |
| Joseph E la Rue | Corporate Officer | Jul 1, 2018 | |
| Corporate Director | Jul 1, 2018 | ||
| Operational/Managerial Control | Jul 1, 2018 | 100% | |
| Adp of the SNF | Jul 1, 2018 | ||
| Greg William Gilstrap | Corporate Director | Jul 1, 2023 | |
| Lewis a Lancaster | Corporate Director | Sep 21, 2017 | |
| Gary D Marrer | Corporate Director | Jul 1, 2022 | |
| La Loma Senior Living Services, Inc. | Operational/Managerial Control | Jul 1, 2018 | 100% |
| Saltmarsh | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | May 16, 2025 | ||
| Arun Lakshmipathy | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Oct 11, 2005 | ||
| Sintra Hoffman | Corporate Director | Feb 17, 2025 | |
| Sharon House Orlopp | Corporate Director | Jul 1, 2024 | |
| Amy Runge | Corporate Officer | Jan 1, 2024 | |
| Herman L Orcutt | Corporate Director | Jul 1, 2012 | |
| Rey Rivera | Corporate Director | Jul 1, 2024 | |
| Gerald S Solomon | Corporate Director | Jul 1, 2017 | |
| Sun Health Services | 5% Or Greater Direct Ownership Interest | Aug 31, 2010 | 100% |
| Operational/Managerial Control | Aug 31, 2010 | 100% | |
| Adp of the SNF | Aug 31, 2010 | ||
| Forvis Mazars LLP | Operational/Managerial Control | Mar 11, 2021 | |
| Adp of the SNF | May 16, 2025 | ||
| Kimberley Thompson | Corporate Officer | Mar 27, 2023 | |
| Operational/Managerial Control | Mar 27, 2023 | ||
| Adp of the SNF | Mar 27, 2023 | ||
| Rebecca Jude | Operational/Managerial Control | Jan 15, 2025 | |
| Adp of the SNF | Jan 15, 2025 | ||
| Sun Health Senior Living LLC | Operational/Managerial Control | Jun 24, 2011 | 100% |
| Adp of the SNF | Apr 14, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Sun City West, AZ
- NPI 1962469791
Adp of the SNF, Operational/Managerial Control
-
- Community Health Clinic/Center
- Surprise, AZ
- NPI 1326463779
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
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Facilities that share an organizational owner with 5% or greater ownership or operational control.
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- Skilled Nursing Facility
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- Skilled Nursing Facility
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- NPI 1255481222
Forvis Mazars LLP, Saltmarsh, Sun Health Senior Living LLC, Sun Health Services
-
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- NPI 1467955682
Forvis Mazars LLP
-
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- Skilled Nursing Facility
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- Skilled Nursing Facility
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- NPI 1073554200
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-
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- Skilled Nursing Facility
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- Skilled Nursing Facility
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Forvis Mazars LLP
-
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- Skilled Nursing Facility
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- NPI 1154362390
Forvis Mazars LLP
-
dba adams Woodcrest
- Nursing Facility/Intermediate Care Facility
- Decatur, IN
- NPI 1356476154
Forvis Mazars LLP
-
dba Northwest Manor Health Care Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1376531681
Forvis Mazars LLP
-
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- Skilled Nursing Facility
- Bluffton, IN
- NPI 1447231832
Forvis Mazars LLP
-
dba adams Heritage
- Nursing Facility/Intermediate Care Facility
- Monroeville, IN
- NPI 1760519268
Forvis Mazars LLP
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1477603363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14719 W GRAND AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747203",
"telephone_number": "623-777-2631",
"fax_number": "623-777-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14260 DENNY BLVD",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409448",
"telephone_number": "623-537-7400",
"fax_number": "623-537-7480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA LOMA SENIOR LIVING SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "KIMBERLEY",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "CHIEF EXPERIENCE OFFICER",
"authorized_official_telephone_number": "313-530-7340"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AZ",
"license": "NCI-2654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AZ PROVIDER NUMBE",
"identifier": "0440830",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "La Loma Senior Living Services, Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "14260 Denny Blvd",
"city": "Litchfield Park",
"state": "AZ",
"country_code": "US",
"postal_code": "853409448",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "La Loma Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.