Healthcare Provider Details

I. General information

NPI: 1649083726
Provider Name (Legal Business Name): HOPE ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14123 W HOPE DR
SURPRISE AZ
85379-4343
US

IV. Provider business mailing address

14123 W HOPE DR
SURPRISE AZ
85379-4343
US

V. Phone/Fax

Practice location:
  • Phone: 623-214-5342
  • Fax: 623-214-5342
Mailing address:
  • Phone: 623-214-5342
  • Fax: 623-214-5342

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: IONEL FANICA
Title or Position: MANAGER
Credential:
Phone: 602-653-8557