ASSISTED LIVING CONCEPTS INC (NPI# 1851417398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851417398 |
| Entity Type | Organization |
| Organization Name | ASSISTED LIVING CONCEPTS INC |
| Other Organization Name | MONDELL HOUSE |
| Practice Address |
15155 W Mondell Road Surprise AZ 85374 |
| Mailing Address |
111 W Michigan Street 9th Floor Milwaukee WI 53203 |
| Practice Telephone | 6232146109 |
| Practice Fax Number | 6232144912 |
| Mailing Telephone | 4149088800 |
| Mailing Fax Number | 4149088212 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WALTER A LEVONOWICH (VICE PRESIDENT AND CONTROLLER) |
| Authorized Official Telephone | 4149088800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALC 4558 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 488537 | 05 |
| Other Name | Type Code |
|---|---|
| Mondell House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205002466 | Assisted Living Concepts Inc | Assisted Living Facility | 440 Tribble Gap Road, Cumming, GA 30144 | 2008-05-07 |
| 1083880272 | Assisted Living Concepts Inc | Assisted Living Facility | 7475 Country Club Drive, Golden Valley, MN 55427 | 2008-05-07 |
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1609049444 | Assisted Living Concepts Inc | Assisted Living Facility | 124 Avery Street, Winterville, WI 30683 | 2008-04-11 |
| 1558534396 | Assisted Living Concepts Inc | Assisted Living Facility | 1160 Whitlock Avenue, Marietta, GA 30064 | 2008-04-11 |
| 1386817120 | Assisted Living Concepts Inc | Assisted Living Facility | 1300 West Waugh Street, Dalton, GA 30720-3434 | 2008-04-11 |
| 1639342470 | Assisted Living Concepts Inc | Assisted Living Facility | 700 Medical Court East, Inverness, FL 34452 | 2008-04-11 |
| 1487827226 | Assisted Living Concepts Inc | Assisted Living Facility | 3250 Quick Water Landing, Kennesaw, GA 30144 | 2008-04-11 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| 1659560514 | Assisted Living Concepts Inc | Assisted Living Facility | 2301 North Brook, Mckinney, TX 75069 | 2007-10-17 |
| Street Address |
15155 W MONDELL ROAD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| 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 |
| 1649826553 | K.s.i Group LLC | Assisted Living Facility | 15328 W Peak View Rd, Surprise, AZ 85387-6905 | 2019-08-15 |
| 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 |
| 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.