Individual provider Active NPI

Ana Dragic

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1831853241
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12025H Issued in AZ
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

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
AL12025HAZMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Living Assisted Living LLC Assisted Living Facility Current Accepting new patients
Sunnycare Cheateau, LLC Assisted Living Facility CurrentSince May 8, 2022 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.

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.

Verify at the official NPI Registry.