K.S.I GROUP LLC (NPI# 1649826553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649826553 |
| Entity Type | Organization |
| Organization Name | K.S.I GROUP LLC |
| Practice Address |
15328 W Peak View Rd Surprise AZ 85387-6905 |
| Practice Telephone | 6027039390 |
| Practice Fax Number | 8884751999 |
| Mailing Telephone | 6027039390 |
| Mailing Fax Number | 8884751999 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | MARQUIS HAYNES (OWNER) |
| Authorized Official Telephone | 6027039390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Mitchell House | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KAMINSKI GROUP LLC | 65 Broadway, New York, New York 10006 |
| Virginia Business Entities | Kashi Group LLC | 21495 Ridgetop Circle Ste 302, Sterling, Virginia 20166 |
| Connecticut Business Registrations | KISWANI GROUP LLC | 202 Ward Avenue, 1st Floor, Staten Island, NY 10304 |
| Virginia Business Entities | KOWALSKI GROUP LLC | |
| New York State Corporations | KSHI GROUP LLC | 150 Peachtree Lane, Roslyn Heights, Ny 11577 |
| Street Address |
15328 W PEAK VIEW RD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85387-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821587361 | Zayden Transportation Services LLC | Private Vehicle | 16399 West Cielo Grande Avenue, Surprise, AZ 85387 | 2018-05-09 |
| 1225553985 | Elmer Place for Parents | Assisted Living Facility | 25968 N.sandstone Way, Surprise, AZ 85387 | 2017-08-03 |
| 1538563143 | About Seniors Assisted Living Home, LLC | Assisted Living Facility | 17343 W Bajada Dr, Surprise, AZ 85387-1002 | 2014-10-11 |
| 1457520470 | Quality Life Arrangements | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17303 W Buckhorn Trl, Surprise, AZ 85387-1016 | 2008-02-24 |
| 1619204039 | Richard Todd Stoneking | Respite Care | 17386 W Buckhorn Trl, Surprise, AZ 85387-1019 | 2009-11-05 |
| 1881919009 | Courtney Burnett | Specialist/Technologist | 17667 W Red Bird Rd, Surprise, AZ 85387-1032 | 2010-03-31 |
| 1508291873 | Trace Jahner | Speech-Language Pathologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2013-09-05 |
| 1689283319 | Madison Riddick | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-28 |
| 1790303527 | Jena Rose Anaya | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-08 |
| 1366074064 | Victoria Rivera | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-02-10 |
| Find all providers in zip 85387 | ||||
| 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 |
|---|---|---|---|---|
| 1205433844 | Angelic Care LLC | Assisted Living Facility | 15247 W Wethersfield Rd, Surprise, AZ 85379-9177 | 2020-10-07 |
| 1285241356 | Andicare LLC | Assisted Living Facility | 15358 W Post Cir, Surprise, AZ 85374-1422 | 2020-09-23 |
| 1699314138 | Crystal Rose | Assisted Living Facility | 13750 W Crocus Dr, Surprise, AZ 85379-8342 | 2020-01-01 |
| 1952962607 | Loving Heart | Assisted Living Facility | 11318 N 145th Ln, Surprise, AZ 85379-4353 | 2019-06-24 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1174094338 | Radiant Care Home | Assisted Living Facility | 15174 W Boca Raton Rd, Surprise, AZ 85379-8005 | 2018-12-16 |
| 1811463508 | Dolce Vita Assisted Living | Assisted Living Facility | 15664 N 164th Ln, Surprise, AZ 85388-1117 | 2018-10-19 |
| 1275017998 | Paradise for Parents Quality Care,llc | Assisted Living Facility | 14210 N 138th Ct, Surprise, AZ 85379-8493 | 2018-09-19 |
| 1821572785 | Love and Care II Assisted Living, LLC | Assisted Living Facility | 16786 W Electra Ln, Surprise, AZ 85387-2027 | 2018-09-18 |
| 1376027094 | Elite Assisted Living Home LLC | Assisted Living Facility | 15755 W Shangri La Rd, Surprise, AZ 85379-4801 | 2018-09-18 |
| Find all providers in SURPRISE | ||||
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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.