Healthcare Provider Details

I. General information

NPI: 1407793185
Provider Name (Legal Business Name): SCL COLLEGE OF NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25786 N DESERT MESA DR
SURPRISE AZ
85387-6827
US

IV. Provider business mailing address

25786 N DESERT MESA DR
SURPRISE AZ
85387-6827
US

V. Phone/Fax

Practice location:
  • Phone: 480-215-9056
  • Fax:
Mailing address:
  • Phone: 480-215-9056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. ELANGE NATHAN
Title or Position: PRESIDENT
Credential:
Phone: 480-215-9056