Organization Active NPI

The Servant Group LLC

  • Skilled Nursing Facility
  • Surprise, AZ
National Provider Identifier
1740807270
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE SERVANT GROUP LLC
Practice address
15278 W Bell Rd
Surprise, AZ 85374-3100
Phone
(623) 440-2681
Fax
(623) 440-4352
NPI assigned
Jun 30, 2020
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Dr. Stephanie Belton, EDD
Title
Ceo
Phone
(623) 440-2682

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary
Pediatric Skilled Nursing Facility 3140N1450X

Addresses

Primary practice location

15278 W Bell Rd
Surprise, AZ 85374-3100

Mailing address

PO Box 8131
Surprise, AZ 85374-0118
Phone (623) 440-2681

Other practice location 1

14372 W Cypress St
Goodyear, AZ 85395-2324
Phone (623) 440-2681

Other practice location 2

9344 W Payson Rd
Tolleson, AZ 85353-5574
Phone (623) 440-2681

National Provider Directory

National Provider Directory
Tax ID family
The Servant Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15278 W Bell Rd
Surprise, AZ 85374
Phone (623) 440-2681

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1740807270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8131",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740118",
            "telephone_number": "623-440-2681",
            "fax_number": "623-440-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15278 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743100",
            "telephone_number": "623-440-2681",
            "fax_number": "623-440-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14372 W Cypress St",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952324",
            "country_code": "US",
            "telephone_number": "623-440-2681",
            "fax_number": "623-440-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9344 W Payson Rd",
            "address_purpose": "LOCATION",
            "city": "Tolleson",
            "state": "AZ",
            "postal_code": "853535574",
            "country_code": "US",
            "telephone_number": "623-440-2681",
            "fax_number": "623-440-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SERVANT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-440-2682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 16, 2024; 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.