Healthcare Provider Details

I. General information

NPI: 1952166787
Provider Name (Legal Business Name): SUN VIEW ESTATES BH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15045 W LARKSPUR DR
SURPRISE AZ
85379-5952
US

IV. Provider business mailing address

15045 W LARKSPUR DR
SURPRISE AZ
85379-5952
US

V. Phone/Fax

Practice location:
  • Phone: 602-717-8296
  • Fax: 602-610-7241
Mailing address:
  • Phone: 602-717-8296
  • Fax: 602-610-7241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGELA DAMIAN
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 602-717-8296