Organization Active NPI

Sunset Grand Assisted Living, LLC

  • Assisted Living Facility
  • Gilbert, AZ
National Provider Identifier
1891544490
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUNSET GRAND ASSISTED LIVING, LLC
Practice address
1214 N Palm St
Gilbert, AZ 85234-2375
Phone
(480) 647-2169
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Jackline K Nzomo, LPN
Title
Owner
Phone
(480) 647-2169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1214 N Palm St
Gilbert, AZ 85234-2375

Mailing address

1214 N Palm St
Gilbert, AZ 85234-2375
Phone (480) 647-2169

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1891544490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 N PALM ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342375",
            "telephone_number": "480-647-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N PALM ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342375",
            "telephone_number": "480-647-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET GRAND ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "NZOMO",
        "authorized_official_first_name": "JACKLINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-647-2169",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.