Organization Active NPI

Hearthstone Hospital Sun City

Doing business as Trillium Specialty Hospital West Valley

  • Skilled Nursing Facility
  • Sun City, AZ
National Provider Identifier
1629066550
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SH 4387 Issued in AZ
Legal business name
HEARTHSTONE HOSPITAL SUN CITY
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
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Mrs. Barbara Ann Byrum
Title
Director of Financial Services
Phone
(480) 329-2877

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCI 384 AZ
Skilled Nursing Facility 314000000X SH 4387 AZ Primary

Addresses

Primary practice location

13818 N Thunderbird Blvd
Sun City, AZ 85351-2574

Mailing address

13818 N Thunderbird Blvd
Sun City, AZ 85351-2574
Phone (623) 977-1325

Other identifiers 2

IdentifierTypeStateIssuer
03-2008OtherAZMEDICARE
645905MedicaidAZ

Other names 1

  • TRILLIUM SPECIALTY HOSPITAL WEST VALLEY 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": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1629066550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "BYRUM",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "480-329-2877",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI 384",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "SH 4387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "03-2008",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645905",
            "state": "AZ"
        }
    ],
    "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 Aug 26, 2009; 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.