NPIMap

Organization Active NPI

Sdancel Management Services, LLC

Doing business as Arizona Comfort Care-Surprise

  • Assisted Living Facility
  • Surprise, AZ
National Provider Identifier
1902277627
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8632H Issued in AZ
Legal business name
SDANCEL MANAGEMENT SERVICES, LLC
Doing business as
Arizona Comfort Care-Surprise
Practice address
17917 W Port Au Prince LN
Surprise, AZ 85388-7575
Phone
(623) 755-5359
Fax
(623) 322-1968
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Mr. Santos Caintic Dancel Jr.
Title
Owner/ Proprietor
Phone
(623) 755-5359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8632H AZ Primary

Addresses

Primary practice location

17917 W Port Au Prince LN
Surprise, AZ 85388-7575

Mailing address

17917 W Port Au Prince Lane
Surprise, AZ 85388
Phone (623) 755-5359

Other identifiers 1

IdentifierTypeStateIssuer
671423MedicaidAZ

Other names 1

  • Arizona Comfort Care-Surprise Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sdancel Management Services LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1902277627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17917 W PORT AU PRINCE LANE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85388",
            "telephone_number": "623-755-5359",
            "fax_number": "623-322-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17917 W PORT AU PRINCE LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853887575",
            "telephone_number": "623-755-5359",
            "fax_number": "623-322-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDANCEL MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "DANCEL",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_middle_name": "CAINTIC",
        "authorized_official_title_or_position": "OWNER/ PROPRIETOR",
        "authorized_official_telephone_number": "623-755-5359",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8632H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "671423",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Comfort Care-Surprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.