SL Fountain View Village LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SL FOUNTAIN VIEW VILLAGE LLC

Practice address

16455 E Avenue of the Fountains
Fountain Hills, AZ 85268-8307

Phone

(480) 836-4800

Fax

(480) 836-4876

NPI assigned

May 20, 2006

Last updated

Apr 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra A Lichtenwald

Title

Dir. Medicare Reimbursement

Phone

(312) 330-6434

Specialties & licenses 4

Addresses

Other names 1

• Fountain View Village Other name

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1982658498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WACKER DR",
            "address_2": "SUITE 2200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013713",
            "telephone_number": "312-673-4333",
            "fax_number": "312-673-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 E AVENUE OF THE FOUNTAINS",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688307",
            "telephone_number": "480-836-4800",
            "fax_number": "480-836-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL FOUNTAIN VIEW VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "LICHTENWALD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIR. MEDICARE REIMBURSEMENT",
        "authorized_official_telephone_number": "312-330-6434"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain View Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlyn Silvernail
• Amy Simao, MS, CCC-SLP
• Michael James Sivak III, LPN
• Stephanie S Skiba, ED.S., NCSP
• Nancy Beth Sklar, OTR/L
• Victoria Slemmer
• Chastity Small, MS
• Smith Family Chiropractic LLC
• Elizabeth R Smith, DC
• Grant Patrick Smith, DC

• Skilled Nursing Facility in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.