Healthcare Provider Details

I. General information

NPI: 1396551016
Provider Name (Legal Business Name): SUNSHINE LEGACY ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8425 E CACTUS RD
SCOTTSDALE AZ
85260-5732
US

IV. Provider business mailing address

8425 E CACTUS RD
SCOTTSDALE AZ
85260-5732
US

V. Phone/Fax

Practice location:
  • Phone: 443-739-9395
  • Fax:
Mailing address:
  • Phone: 443-739-9395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JILL SCHULTZ
Title or Position: OWNER
Credential: RN
Phone: 443-739-9395