Healthcare Provider Details

I. General information

NPI: 1164355384
Provider Name (Legal Business Name): DELITE ECLAIRER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2923 N 67TH PL
SCOTTSDALE AZ
85251-6001
US

IV. Provider business mailing address

2923 N 67TH PL
SCOTTSDALE AZ
85251-6001
US

V. Phone/Fax

Practice location:
  • Phone: 480-630-7542
  • Fax:
Mailing address:
  • Phone: 602-300-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SUMAR KASIK
Title or Position: OWNER/OPERATOR
Credential: TN
Phone: 602-300-3000