Sunnyside Assisted Living Home LLC/Sunnyside Assisted Living Home LLC,

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNNYSIDE ASSISTED LIVING HOME LLC/SUNNYSIDE ASSISTED LIVING HOME LLC,

Practice address

18006 N 6TH Dr
Phoenix, AZ 85023-6489

Phone

(602) 626-8257

Fax

(602) 688-5424

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Esprance Mapendo

Title

Owner

Phone

(949) 630-1715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1730721432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18006 N 6TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236489",
            "telephone_number": "602-626-8257",
            "fax_number": "602-688-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18006 N 6TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236489",
            "telephone_number": "602-626-8257",
            "fax_number": "602-688-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE ASSISTED LIVING HOME LLC/SUNNYSIDE ASSISTED LIVING HOME LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "MAPENDO",
        "authorized_official_first_name": "ESPRANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-630-1715"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.