PEACHTREE ASSISTED LIVING HOME
NPI 1245729995
Assisted Living Facility in Surprise, AZ
- Organization
- Assisted Living Facility
About PEACHTREE ASSISTED LIVING HOME
This page provides the complete NPI Profile along with additional information for Peachtree Assisted Living Home, a provider established in Surprise, Arizona operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1245729995 assigned on May 2018. The practitioner's primary taxonomy code is 310400000X with license number AL7402H (AZ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Peachtree Assisted Living Home. The authorized official of this NPI record is Mrs. Lorna A Conol (Owner)
- NPI
- 1245729995 Verify this NPI
- Provider Legal Name
- LORNA ENTERPRISES,LLC
- Other Organization Name
- PEACHTREE ASSISTED LIVING HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 15550 W CAMERON DR SURPRISE, AZ 85379
- Location Phone
- (623) 693-0839
- Mailing Address
- 15612 W SHANGRI LA RD SURPRISE, AZ 85379
- Mailing Phone
- (623) 693-0839
- Mailing Fax
- (623) 234-8655
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2018
- Last Update Date
- 05-08-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- AL7402H
- License State
- AZ
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 405898 | MEDICAID (05) | AZ |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245729995, enumerated as an "organization" on May 08, 2018.
The provider is located at 15550 W CAMERON DR SURPRISE, AZ 85379 and the phone number is (623) 693-0839.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
