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SURPRISE RESIDENTIAL ASSISTED LIVING
NPI 1053539700
Assisted Living Facility in Surprise, AZ

Active since April 20, 2007
17218 W STATLER ST, SURPRISE, AZ 85388(602) 369-1254(602) 595-1659 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Surprise Residential Assisted Living NPPES

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

SURPRISE RESIDENTIAL ASSISTED LIVING (NPI 1053539700) is a healthcare organization registered as an assisted living facility in Surprise, Arizona and active in the NPI registry since April 2007. The organization lists Shaiba Barry, Manager, as its authorized official.

NPPES Registry Identity

NPI1053539700
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSURPRISE RESIDENTIAL ASSISTED LIVING
Location Address17218 W STATLER STSurprise, AZ 85388-1265
Mailing Address17633 N 14th StPhoenix, AZ 85022-2001 · (602) 404-8196 · Fax (602) 595-1659
Phone(602) 369-1254
Fax(602) 595-1659
Organization SubpartNo
Authorized OfficialShaiba BarryManager · (602) 404-8196
Enumeration DateApril 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053539700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
17218 W STATLER ST, Surprise, AZ 85388
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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 Surprise Residential Assisted Living's NPI number?

The NPI number for Surprise Residential Assisted Living is 1053539700. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Surprise Residential Assisted Living located?

Surprise Residential Assisted Living is located at 17218 W Statler St, Surprise, AZ 85388. The listed phone number is (602) 369-1254.

What is Surprise Residential Assisted Living'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 Surprise Residential Assisted Living was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.