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LEISURE TIMES HOME LLC
NPI 1356864037
Assisted Living Facility in Surprise, AZ

Active since July 25, 2017
11678 W YUCCA CT, SURPRISE, AZ 85378(623) 399-2349(623) 505-4239 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Jul 25, 2017 (3 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About LEISURE TIMES HOME LLC

This page provides the complete NPI Profile along with additional information for Leisure Times Home Llc, a provider established in Surprise, Arizona operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1356864037 assigned on July 2017. The practitioner's primary taxonomy code is 310400000X with license number AL10340H (AZ). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Amalia Cimpean (Owner/administrator)

NPI
1356864037 Verify this NPI
Provider Name
LEISURE TIMES HOME LLC
Entity Type
Organization
Location Address
11678 W YUCCA CT SURPRISE, AZ 85378
Location Phone
(623) 399-2349
Location Fax
(623) 505-4239
Mailing Address
15653 W REDFIELD RD SURPRISE, AZ 85379
Mailing Phone
(623) 399-2349
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2017
Last Update Date
06-11-2019
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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.
AL10340H
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMALIA CIMPEAN

Authorized Official Title
OWNER/ADMINISTRATOR
Authorized Official Phone
(623) 399-2349

Reviews for LEISURE TIMES HOME LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

LEISURE TIMES HOME
Assisted Living Facility
11678 W YUCCA CT
SURPRISE, AZ 85378
Maricopa County (623) 215-2816

Frequently Asked Questions

What is LEISURE TIMES HOME LLC's NPI number?

The NPI number assigned to this healthcare provider is 1356864037, enumerated as an "organization" on July 25, 2017.

Where is the provider located?

The provider is located at 11678 W YUCCA CT SURPRISE, AZ 85378 and the phone number is (623) 399-2349.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.