Organization Active NPI

Anastasia Assisted Living Home LLC

  • Assisted Living Facility
  • Surprise, AZ
National Provider Identifier
1720550767
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANASTASIA ASSISTED LIVING HOME LLC
Practice address
12805 N 145TH Ave
Surprise, AZ 85379
Phone
(623) 218-6564
Fax
(623) 218-6564
NPI assigned
Dec 31, 2018
Last updated
Dec 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Maria Cristina Burca
Title
Manager
Phone
(623) 221-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

12805 N 145TH Ave
Surprise, AZ 85379

Mailing address

14417 W Mauna Loa Lane
Surprise, AZ 85379
Phone (623) 221-1997

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1720550767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14417 W MAUNA LOA LANE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "623-221-1997",
            "fax_number": "623-218-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 N 145TH AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "623-218-6564",
            "fax_number": "623-218-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASTASIA ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "BURCA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-221-1997"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 31, 2018; 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.