NPIMap

Organization Active NPI

Sunhaven Assisted Living

  • Assisted Living Facility
  • Lake Havasu City, AZ
National Provider Identifier
1538522503
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8825C Issued in AZ
Legal business name
SUNHAVEN ASSISTED LIVING
Practice address
2731 Jamaica Blvd S
Lake Havasu City, AZ 86406-7770
Phone
(928) 855-5558
Fax
(877) 632-1956
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Dr. Jeff Schall, D.C.
Title
Owner
Phone
(661) 747-1507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8825C AZ Primary

Addresses

Primary practice location

2731 Jamaica Blvd S
Lake Havasu City, AZ 86406-7770

Mailing address

2731 Jamaica Blvd S
Lake Havasu City, AZ 86406-7770
Phone (928) 855-5558

Other identifiers 1

IdentifierTypeStateIssuer
822847OtherAZARIZONA LONG TERM CARE

Other names 1

  • SunHaven Assisted Living South Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1538522503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 JAMAICA BLVD S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067770",
            "telephone_number": "928-855-5558",
            "fax_number": "877-632-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 JAMAICA BLVD S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067770",
            "telephone_number": "928-855-5558",
            "fax_number": "877-632-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNHAVEN ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHALL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-747-1507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8825C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LONG TERM CARE",
            "identifier": "822847",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunHaven Assisted Living South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.