SUNRIDGE VILLAGE LLC (NPI# 1699817734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699817734 |
| Entity Type | Organization |
| Organization Name | SUNRIDGE VILLAGE LLC |
| Practice Address |
839 Landon Dr Bullhead City AZ 86429-7674 |
| Practice Telephone | 9287540700 |
| Practice Fax Number | 9287541225 |
| Mailing Telephone | 9287540700 |
| Mailing Fax Number | 9287541225 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | CINDY TRITZ (ADMINISTRATOR) |
| Authorized Official Telephone | 9287540700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 920 | AZ | Nursing & Custodial Care Facilities |
| Street Address |
839 LANDON DR |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86429-7674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457879165 | Gerihealth LLC | Hospice Care, Community Based | 839 Landon Dr, Bullhead City, AZ 86429-7674 | 2017-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356802912 | Talas Harbor At Bullhead City | Psychiatric Unit | 831 Landon Drive, Bullhead City, AZ 86429 | 2019-03-27 |
| 1386159440 | Marie Bridget Moran | Nurse Practitioner | 251 Moser Ave Unit 207, Bullhead City, AZ 86429 | 2017-12-11 |
| 1144625955 | Scott Simpson | Pharmacist | 600 Higway 95, Bullhead City, AZ 86429 | 2014-10-23 |
| 1073929162 | Soy Ramsumeer | Registered Nurse | 2007 Pegasus Ranch Rd, Bullhead City, AZ 86429 | 2014-07-09 |
| 1740544741 | Marian Bautista Cid | Nurse Practitioner | 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 | 2012-06-25 |
| 1992901672 | Ob-gyn Women's Center, PC | Point of Service | 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 | 2007-06-21 |
| 1093899379 | Jose Hiram Alvarez | Specialist | 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 | 2006-10-24 |
| 1275572992 | Jim D. Bates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1378 Pioneer Trl, Bullhead City, AZ 86429-1112 | 2006-06-06 |
| 1972694131 | Sam's Club Optical | Technician/Technologist | 600 Highway 95 Ste 200, Bullhead City, AZ 86429-5005 | 2006-09-27 |
| 1316004799 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 600 Highway 95 Ste 200, Bullhead City, AZ 86429-5005 | 2007-01-03 |
| Find all providers in zip 86429 | ||||
| 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 |
|---|---|---|---|---|
| 1053437525 | Assisted Living Concepts Inc | Assisted Living Facility | 2943 Desert Sky, Bullhead City, AZ 86442 | 2007-03-22 |
| 1356486559 | Silver Creek Inn Assets LLC | Assisted Living Facility | 1670 Hwy 95, Bullhead City, AZ 86442 | 2007-02-21 |
| 1841764446 | Bullhead City Senior Living, LLC | Assisted Living Facility | 2995 Desert Sky Blvd, Bullhead City, AZ 86442-8855 | 2019-01-16 |
| 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 | ||||
| City | BULLHEAD CITY |
| Zip Code | 86429 |
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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.