SGM Healthcare Service

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

SGM HEALTHCARE SERVICE

Practice address

3637 E Parkview Dr
Gilbert, AZ 85295-3699

Phone

(480) 570-2593

NPI assigned

Jun 13, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline C Asante

Title

Administrator

Phone

(480) 570-9259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1558045252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 E PARKVIEW DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953699",
            "telephone_number": "480-570-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 E PARKVIEW DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953699",
            "telephone_number": "480-570-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGM HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "ASANTE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-570-9259",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritchey Noele Sewell, RPH
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• Kelly Marie Sezate, NP
• SGL Holdings LLC
• SGL Holdings LLC
• Namir J Shaba, D.O.
• Archan M Shah, M.D
• Ashini Paresh Shah
• Paras A. Shah, MD
• Samantha Sayeed Shah, MS, BCBA

• Assisted Living Facility (Behavioral Disturbances) in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.