Lookout Mountain Healthcare LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

LOOKOUT MOUNTAIN HEALTHCARE LLC

Practice address

13232 N Tatum Blvd
Phoenix, AZ 85032-6459

Phone

(602) 996-5200

Fax

(602) 996-6160

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Mountain Post Acute Doing business as

Tax ID family

Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lookout Mountain Healthcare LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1427516582
  NPD tax ID

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1841844784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13232 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326459",
            "telephone_number": "602-996-5200",
            "fax_number": "602-996-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13232 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326459",
            "telephone_number": "602-996-5200",
            "fax_number": "602-996-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKOUT MOUNTAIN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Mountain Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix Mountain Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sativa R Lontok
• Gregory T Loo, DPM
• Rita Lookinglass, RN
• Lookout Mountain Family Dentistry
• Lookout Mountain Healthcare LLC
• James Connor Loomis, MD
• Natalie Loomis, PHD
• Loop 101 Emergency Physicians LLC
• Jason Michael Loop, D.D.S, M.S.
• Selena N Loop, PTA

• All providers in Phoenix, AZ
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.