Damaris Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8836H Issued in AZ

Legal business name

DAMARIS ASSISTED LIVING HOME

Practice address

15243 W Post Dr
Surprise, AZ 85374-1424

Phone

(623) 214-5342

Fax

(623) 546-5904

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Damaris Fanica

Title

Owner

Phone

(623) 214-5342

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1497124465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 W POST DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-214-5342",
            "fax_number": "623-546-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 W POST DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853741424",
            "telephone_number": "623-214-5342",
            "fax_number": "623-546-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMARIS ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "FANICA",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-214-5342"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8836H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D&S NW Phoenix HC LLC
• Daniel James Daffinrud, ATC
• Rebekah Ellen Dagny, PEDIATRIC NURSE PRAC
• Courtney Dalee, FNP-BC
• Shannon Laura Dalley, MACCCSLP
• Benjamin C Damico
• Leslie Dana-Kirby, PH.D.
• Frederick Dando
• Denise Duong Dang, PHARMD
• Saita Danial

• 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 Sep 21, 2015; 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.