Organization Active NPI

Susan's Adult Care, LLC

  • Adult Care Home Facility
  • Scottsdale, AZ
National Provider Identifier
1619148509
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
ALH4544 Issued in AZ
Legal business name
SUSAN'S ADULT CARE, LLC
Practice address
6722 E Camino de Los Ranchos
Scottsdale, AZ 85254-3908
Phone
(480) 998-7840
Fax
(480) 219-0464
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Mrs. Susan Lori Nerheim
Title
Owner
Phone
(480) 998-7840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X ALH4544 AZ Primary
Adult Care Home Facility 311ZA0620X ALH4915 AZ

Addresses

Primary practice location

6722 E Camino de Los Ranchos
Scottsdale, AZ 85254-3908

Mailing address

6722 E Camino de Los Ranchos
Scottsdale, AZ 85254-3908
Phone (480) 998-7840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1619148509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 E CAMINO DE LOS RANCHOS",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543908",
            "telephone_number": "480-998-7840",
            "fax_number": "480-219-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 E CAMINO DE LOS RANCHOS",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543908",
            "telephone_number": "480-998-7840",
            "fax_number": "480-219-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN'S ADULT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "NERHEIM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-998-7840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "ALH4544",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "ALH4915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.