LIFESTREAM AT SUN RIDGE
NPI 1932105962
Skilled Nursing Facility in Surprise, AZ

Active since June 23, 2005CLIA 03D0683752 · Waiver
12215 W BELL RD, SURPRISE, AZ 85378(623) 583-5482(623) 583-1465 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifestream At Sun Ridge NPPES

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

LIFESTREAM AT SUN RIDGE (NPI 1932105962) is a healthcare organization registered as a skilled nursing facility in Surprise, Arizona and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ronald Estes, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1932105962
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIFESTREAM COMPLETE SENIOR LIVING AT SUN RIDGE INC
Location Address12215 W BELL RDSurprise, AZ 85378-9640
Mailing Address12215 W Bell RdSurprise, AZ 85378-9640 · (623) 583-5482 · Fax (623) 583-1465
Fax(623) 583-1465
Organization SubpartNo
Authorized OfficialRonald EstesChief Financial Officer · (623) 933-3333
Enumeration DateJune 23, 2005
Last NPPES UpdateMay 21, 2013
NPI 1932105962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in AZ · NCI-406
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
12215 W BELL RD, Surprise, AZ 85378

Other Names 1

Doing Business AsLifestream At Sun Ridge

Other Identifiers 4

OtherAZ0402330AZ · Blue Cross Blue Shield
Medicaid390922AZ
Medicare ID-Type Unspecified035243AZ · Medicare Provider #
Other1025242AZ · Mercy Care Advantage

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0683752

Lifestream Complete Senior Living At Sun Ridge · Surprise, AZ
Active · expires Aug 31, 2026
CLIA Number03D0683752
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRegina R. Anderson
Laboratory Phone(623) 583-5482
Laboratory LocationLifestream Complete Senior Living At Sun Ridge12215 West Bell Road, Surprise, AZ 85374
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lifestream Complete Senior Living At Sun Ridge Inc's NPI number?

The NPI number for Lifestream Complete Senior Living At Sun Ridge Inc is 1932105962. It was assigned to this organization in the NPPES registry on June 23, 2005. The provider is doing business as Lifestream At Sun Ridge.

Where is Lifestream Complete Senior Living At Sun Ridge Inc located?

Lifestream Complete Senior Living At Sun Ridge Inc is located at 12215 W Bell Rd, Surprise, AZ 85378. The listed phone number is (623) 583-5482.

What is Lifestream Complete Senior Living At Sun Ridge Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lifestream Complete Senior Living At Sun Ridge Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0683752) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifestream Complete Senior Living At Sun Ridge Inc was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.