VENTANA LAKES (NPI# 1164670691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164670691 |
| Entity Type | Organization |
| Organization Name | VENTANA LAKES |
| Practice Address |
20067n 110th Lane Sun City AZ 85373-3331 |
| Practice Telephone | 6233768411 |
| Practice Fax Number | 6233768411 |
| Mailing Telephone | 6233768411 |
| Mailing Fax Number | 6233768411 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| Authorized Official Name | VIRGINIA POP (OWNER MANAGER) |
| Authorized Official Telephone | 6233768411 |
| Authorized Official Credential | CPHT MANAGER |
| Is Organization Subpart | Y |
| Parent Organization Name | VENTANA LAKES - ASSISTED LIVING HOME |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | ID539231 | AZ | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | ALH2495 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LICENSE | ALH2495 | 01 |
| AZ | AHCCCSID539231 | 05 |
| Street Address |
20067N 110TH LANE |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85373-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396801858 | Virginia Pop | Pharmacy Technician | 20067n 110th Lane, Sun City, AZ 85373-3331 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372936 | Pacifica Sl Phoenix LLC | Assisted Living Facility | 17207 North Boswell Boulevard, Sun City, AZ 85373 | 2019-12-02 |
| 1427419894 | E&a Solutions | Clinic/Center | 24656 North Lake Pleasant Parkway, St 103-288, Peoria, AZ 85373 | 2016-03-14 |
| 1902010960 | Anna Paulette Baker | Counselor | 11846 W. Jessie Lane, Sun City, AZ 85373 | 2007-05-09 |
| 1699831412 | Josie Martinez | Respite Care | 11967 W. Villa Chula Ln., Sun City, AZ 85373 | 2006-12-28 |
| 1851693527 | Andoloris Medical, Pllc | Durable Medical Equipment & Medical Supplies | 10830 W Acacia Dr, Sun City, AZ 85373 | 2010-11-30 |
| 1841406857 | Trinity Angelyn Hudson | Speech-Language Pathologist | 17220 N Boswell Blvd, Ste L200, Sun City, AZ 85373 | 2007-05-15 |
| 1356555650 | Sara Elizabeth Keller | Physical Medicine & Rehabilitation | 17220 N Boswell Blvd, Ste L200, Sun City, AZ 85373 | 2007-05-09 |
| 1851620272 | Joseph Curtis Kovacs | Emergency Medicine | 19812 N 99th Dr, Sun City, AZ 85373-1002 | 2009-12-14 |
| 1649808874 | Justin Ryan Schwarting | Nurse Practitioner | 19808 N Cherry Tree Ln, Sun City, AZ 85373-1022 | 2020-04-01 |
| 1548684301 | Kay Marie Brittingham | Occupational Therapist | 19601 N Welk Dr, Sun City, AZ 85373-1054 | 2014-02-13 |
| Find all providers in zip 85373 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372936 | Pacifica Sl Phoenix LLC | Assisted Living Facility | 17207 North Boswell Boulevard, Sun City, AZ 85373 | 2019-12-02 |
| 1164637617 | People of Faith Dba Royal Oaks | Assisted Living Facility | 10015 W Royal Oak Rd, Sun City, AZ 85351-3164 | 2007-05-10 |
| 1538114012 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 17225 N Boswell Blvd, Sun City, AZ 85373-2080 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730508 | Gheorghe Patrutescu | Assisted Living Facility | 16134 N 72nd Ln, Peoria, AZ 85382-4937 | 2020-11-03 |
| 1942800966 | Yibu Liu | Assisted Living Facility | 3569 E Utopia Rd, Phoenix, AZ 85050-3967 | 2020-10-28 |
| 1386243269 | Harmony House Tucson LLC | Assisted Living Facility | 12651 E Speedway Blvd, Tucson, AZ 85748-2060 | 2020-10-21 |
| 1710586664 | Sunland Springs Memory Care, LLC | Assisted Living Facility | 2415 S Signal Butte Rd, Mesa, AZ 85209-2107 | 2020-10-21 |
| 1487253860 | Ronald Jingco Calaguas | Assisted Living Facility | 2432 W Portobello Ave, Mesa, AZ 85202-7871 | 2020-10-18 |
| 1992303374 | Azi House LLC | Assisted Living Facility | 1200 W Chapala Dr, Tucson, AZ 85704-4521 | 2020-10-16 |
| 1609474030 | Fisher Family Home LLC | Assisted Living Facility | 2927 W Redfield Rd, Phoenix, AZ 85053-7712 | 2020-10-16 |
| 1235736687 | Ana's Assisted Living Home, LLC | Assisted Living Facility | 13238 N 35th St, Phoenix, AZ 85032-6110 | 2020-10-07 |
| 1205433844 | Angelic Care LLC | Assisted Living Facility | 15247 W Wethersfield Rd, Surprise, AZ 85379-9177 | 2020-10-07 |
| 1689281347 | Gilbert Al Partners, Lp | Assisted Living Facility | 1445 E Willis Rd, Gilbert, AZ 85297-7352 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.