NPIMap

Organization Active NPI

Sdancel Management Services, LLC

  • Assisted Living Facility
  • Surprise, AZ
National Provider Identifier
1770026635
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9154H Issued in AZ
Legal business name
SDANCEL MANAGEMENT SERVICES, LLC
Practice address
15724 N 168TH LN
Surprise, AZ 85388-1349
Phone
(623) 755-5359
Fax
(623) 322-1968
NPI assigned
Nov 28, 2016
Organization subpart
Yes
Parent organization
ARIZONA COMFORT CARE-SURPRISEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Mr. Santos Caintic Dancel
Title
Owner
Phone
(623) 755-5359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9154H AZ Primary

Addresses

Primary practice location

15724 N 168TH LN
Surprise, AZ 85388-1349

Mailing address

15724 N 168TH LN
Surprise, AZ 85388-1349
Phone (623) 755-5359

Other identifiers 1

IdentifierTypeStateIssuer
141476MedicaidAZ

Other names 1

  • Golden Care Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sdancel Management Services LLC2 organizations share this tax ID, including this one
Part of
Sdancel Management Services LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1770026635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15724 N 168TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881349",
            "telephone_number": "623-755-5359",
            "fax_number": "623-322-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15724 N 168TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881349",
            "telephone_number": "623-755-5359",
            "fax_number": "623-322-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDANCEL MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA COMFORT CARE-SURPRISE",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "DANCEL",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_middle_name": "CAINTIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-755-5359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9154H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141476",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Care Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 2016; 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.