SERENDIPITY IN THE SUN LLC NPI 1902551914

NPI Information

NPI: 1902551914
Provider Name: SERENDIPITY IN THE SUN LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 03D2253195

Address:
6501 E CORRINE DR
SCOTTSDALE, AZ
ZIP 85254
Phone: (480) 761-1778
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SERENDIPITY IN THE SUN LLC is an assisted living facility in Scottsdale, AZ. The provider is 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. SERENDIPITY IN THE SUN LLC NPI is 1902551914. The provider is registered as an organization entity type.

The provider's business location address is:

6501 E CORRINE DR
SCOTTSDALE, AZ
ZIP 85254-560
Phone: (480) 761-1778
Fax: (480) 350-7733

The provider's authorized official is Randy Mallari .
The authorized official title is Clinical Director/ Alf Manager and has the following contact phone number (602) 908-8580.

The CLIA number assigned to this NPI record is 03D2253195 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2022 and was last updated on 1/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory				No
2	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AL11590H	OTHER	ARIZONA	ARIZONA DEPARTMENT OF HEALTH SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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