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

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

On this page

About Leisure Times Home Llc NPPES

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

LEISURE TIMES HOME LLC (NPI 1356864037) is a healthcare organization registered as an assisted living facility in Surprise, Arizona and active in the NPI registry since July 2017. The organization lists Amalia Cimpean, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1356864037

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameLEISURE TIMES HOME LLC

Location Address11678 W YUCCA CTSurprise, AZ 85378-2518

Mailing Address15653 W Redfield RdSurprise, AZ 85379-5628 · (623) 399-2349

Phone(623) 399-2349

Fax(623) 505-4239

Organization SubpartNo

Authorized OfficialAmalia CimpeanOwner/administrator · (623) 399-2349

Enumeration DateJuly 25, 2017

Last NPPES UpdateJune 11, 20193 updates tracked since enumeration

✔ NPI 1356864037 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 · AL10340H

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.

11678 W YUCCA CT, Surprise, AZ 85378

Open in Google Maps ↗