Active NPI
Cardinal Assisted Living Home
- Home Health Agency
- Surprise, AZ
National Provider Identifier
1659088045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CARDINAL ASSISTED LIVING HOME
- Practice address
- 25661 N Desert Mesa Dr
Surprise, AZ 85387-6830 - Phone
- (623) 792-7185
- Fax
- (623) 792-7064
- NPI assigned
- Nov 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Stefana Burlacu
- Title
- Owner
- Phone
- (623) 792-7185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
25661 N Desert Mesa Dr
Surprise, AZ 85387-6830
Mailing address
25661 N Desert Mesa Dr
Surprise, AZ 85387-6830
Phone (623) 792-7185
Other names 1
- Cardinal Assisted Living Home
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Assisted Living Facility
- Surprise, AZ
- NPI 1770205619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1659088045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25661 N DESERT MESA DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853876830",
"telephone_number": "623-792-7185",
"fax_number": "623-792-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25661 N DESERT MESA DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853876830",
"telephone_number": "623-792-7185",
"fax_number": "623-792-7064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL ASSISTED LIVING HOME",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "BURLACU",
"authorized_official_first_name": "STEFANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-792-7185",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cardinal Assisted Living Home",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.