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JOHN HENRY MARTIN LICO
NPI 1003432667
Assisted Living Facility in Surprise, AZ

Active since June 19, 2020
15244 W WATSON LN, SURPRISE, AZ 85379(623) 227-9697 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Henry Martin Lico NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN HENRY MARTIN LICO (NPI 1003432667) is an individual assisted living facility provider in Surprise, Arizona, licensed in Arizona (AL11496H) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1003432667
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameJOHN HENRY MARTIN LICO
Location Address15244 W WATSON LNSurprise, AZ 85379-7040
Mailing Address15244 W Watson LnSurprise, AZ 85379-7040
Phone(623) 227-9697
Sole ProprietorYes
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1003432667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AZ · AL11496H
Definition
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.
15244 W WATSON LN, Surprise, AZ 85379
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARHABA HOME CARE LLC
Residential Treatment Facility, Physical Disabilities
15244 W WATSON LN
SURPRISE, AZ 85379
Maricopa County (623) 398-6059
PRECIOUS LOVING HOME CARE
Assisted Living Facility
15244 W WATSON LN
SURPRISE, AZ 85379
Maricopa County (623) 398-6059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Henry Martin Lico's NPI number?

The NPI number for John Henry Martin Lico is 1003432667. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is John Henry Martin Lico located?

John Henry Martin Lico practices at 15244 W Watson Ln, Surprise, AZ 85379. The listed phone number is (623) 227-9697.

What is John Henry Martin Lico's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for John Henry Martin Lico was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.