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LAKE PLEASANT HEALTHCARE INC. NPI 1376107904


NPI Information

NPI: 1376107904
Provider Name: LAKE PLEASANT HEALTHCARE, INC.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
20625 N LAKE PLEASANT RD
PEORIA, AZ
ZIP 85382
Phone: (623) 566-0642
Get Directions

LAKE PLEASANT HEALTHCARE, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Peoria, AZ. LAKE PLEASANT HEALTHCARE, INC. NPI is 1376107904. The provider is registered as an organization entity type.

The provider's business location address is:

20625 N LAKE PLEASANT RD
PEORIA, AZ
ZIP 85382-704
Phone: (623) 566-0642
Fax: (623) 476-3664

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The enumeration date for this NPI number is 4/29/2019 and was last updated on 4/29/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OTC9114OTHERARIZONAAZ 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.