Active NPI
Ana Dragic
- Assisted Living Facility
- Phoenix, AZ
National Provider Identifier
1831853241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12025H
- Practice address
- 3843 W Beryl Ave
Phoenix, AZ 85051-1137 - Phone
- (602) 919-1851
- Fax
- (480) 522-1975
- NPI assigned
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12025H | AZ | Primary |
Addresses
Primary practice location
3843 W Beryl Ave
Phoenix, AZ 85051-1137
Mailing address
3843 W Beryl Ave
Phoenix, AZ 85051-1137
Phone (602) 919-1851
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.sunnycarechateau.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL12025H | AZ | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Living Assisted Living LLC | Assisted Living Facility | Current | Accepting new patients |
| Sunnycare Cheateau, LLC | Assisted Living Facility | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility
- Phoenix, AZ
- NPI 1801641311
-
- Assisted Living Facility
- Phoenix, AZ
- NPI 1700521556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1831853241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3843 W BERYL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511137",
"telephone_number": "602-919-1851",
"fax_number": "480-522-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3843 W BERYL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511137",
"telephone_number": "602-919-1851",
"fax_number": "480-522-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGIC",
"first_name": "ANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-22",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL12025H",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.sunnycarechateau.com",
"affiliation": "N",
"address_1": "3843 W Beryl Ave",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850511137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.