Organization Active NPI

Phoenix Az Opco LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
National Provider Identifier
1689316135
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PHOENIX AZ OPCO LLC
Practice address
8825 S 7TH St
Phoenix, AZ 85042-7626
Phone
(602) 243-6121
NPI assigned
Apr 13, 2022
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Isaac Rami
Title
Manager
Phone
(718) 887-5361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8825 S 7TH St
Phoenix, AZ 85042-7626

Mailing address

300 Boulevard of the Americas
Suite 101
Lakewood, NJ 08701-4636
Phone (201) 928-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220830003738 AZ Part A Provider - Skilled Nursing Facility 0749664498 Practice locations: Phoenix, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689316135. Details of each certification follow.

Skilled nursing facility certification: CCN 035175

Legal name
PHOENIX AZ OPCO LLC
Doing business as
DESERT PEAK CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 7, 1988
Last certification
Jan 10, 2025
Beds
194
Ownership / control type
Corporation
Multi-facility organization
Oxford Valley Health Care
Organization structure
LLCProprietary
Incorporated
Feb 24, 2022 in AZ
Enrollment address
8825 S 7TH St
Phoenix, AZ 85042-7626
Nursing home name
DESERT PEAK CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Desert Peak Care CenterCCN 035175 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 7, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
194148.0 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $64,873

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0885767Phoenix Az Opco LLC Dba Desert Peak Care8825 S 7TH St, Phoenix, AZ 85042Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Isaac Rami Individual 5% Or Greater Direct Ownership Interest Jun 1, 2022 99%
Keith Carroll Individual W-2 Managing EmployeeAdministrator Jun 1, 2022

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1689316135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BOULEVARD OF THE AMERICAS",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014636",
            "telephone_number": "201-928-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427626",
            "telephone_number": "602-243-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX AZ OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "RAMI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-887-5361"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.