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NPI Code Detail

MEDICARE: SUNNYCARE CHEATEAU, LLC

MEDICARE: SUNNYCARE CHEATEAU, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700521556
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNNYCARE CHEATEAU, LLC
Provider Business Mailing Address
First Line : 3843 W BERYL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1137
Country : US
Telephone Number : 602-919-1851
Fax Number : 480-522-1975
Provider Business Practice Location Address
First Line : 3843 W BERYL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1137
Country : US
Telephone Number : 602-919-1851
Fax Number : 480-522-1975
Authorized Official
Title or Position : OWNER ASSISTED LIVING
Name : MRS. ANA DRAGIC
Credential :
Telephone Number : 602-919-1851
Provider Enumeration Date : 05/04/2022
Last Update Date : 06/17/2025

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Directions to “SUNNYCARE CHEATEAU, LLC ” Practice Location

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