Sacred Heart LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9707H Issued in AZ

Legal business name

SACRED HEART LLC

Practice address

13844 N 150TH Dr
Surprise, AZ 85379-6020

Phone

(520) 788-2233

Fax

(623) 444-8435

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Johanna Salumbides

Title

Owner

Phone

(520) 788-2233

Specialties & licenses 1

Addresses

Other names 1

• Ashton Ranch Home Care Former legal business name

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1891154043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13844 N 150TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796020",
            "telephone_number": "520-788-2233",
            "fax_number": "623-444-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13844 N 150TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796020",
            "telephone_number": "520-788-2233",
            "fax_number": "623-444-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "SALUMBIDES",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-788-2233"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9707H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashton Ranch Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• S. Jayachandran, M.D. P.C.
• Kimberly Sabidong, LPN
• Sabre Wisniewski Sabre Wisniewski
• Kathleen A Sacco-Ramirez, RN
• Rhonda Lynn Sachs, M.S.
• Sienna Saechao
• Safe Harbor Hospice of Arizona, LLC
• Safe Haven Services, LLC
• Safeway Inc
• Safeway Inc

• Assisted Living Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.