NPIMap

Organization Active NPI

Hearthstone Hospital - Sun City, LLC

Doing business as Trillium Specialty Hospital - West Valley

  • Long Term Care Hospital
  • Sun City, AZ
National Provider Identifier
1518112150
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
SH4387 Issued in AZ
Legal business name
HEARTHSTONE HOSPITAL - SUN CITY, LLC
Doing business as
Trillium Specialty Hospital - West Valley
Practice address
13818 N Thunderbird Blvd
Sun City, AZ 85351-2574
Phone
(623) 977-1325
Fax
(623) 974-3984
NPI assigned
Nov 24, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Mr. Glenn De Souza
Title
President
Phone
(480) 945-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X SH4387 AZ Primary

Addresses

Primary practice location

13818 N Thunderbird Blvd
Sun City, AZ 85351-2574

Mailing address

4440 N Civic Center PLZ
Scottsdale, AZ 85251-3513
Phone (480) 945-7711

Other names 1

  • Trillium Specialty Hospital - West Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Restora Hospital of Sun City LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4440 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 945-7711

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1518112150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513513",
            "telephone_number": "480-945-7711",
            "fax_number": "480-945-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13818 N THUNDERBIRD BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512574",
            "telephone_number": "623-977-1325",
            "fax_number": "623-974-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE HOSPITAL - SUN CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "DE SOUZA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-945-7711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AZ",
            "license": "SH4387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Specialty Hospital - West Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.