MEDICARE: LORNA ENTERPRISES,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL7402H	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245729995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LORNA ENTERPRISES,LLC

Provider Business Mailing Address
First Line	:	15612 W SHANGRI LA RD
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-4795
Country	:	US
Telephone Number	:	623-693-0839
Fax Number	:	623-234-8655

Provider Business Practice Location Address
First Line	:	15550 W CAMERON DR
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-1055
Country	:	US
Telephone Number	:	623-693-0839
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LORNA A CONOL
Credential	:
Telephone Number	:	623-693-0839

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	05/08/2018

Similar Medicare Providers

1871229161 — MR. RUBEN R RODIS JR.
Practice Location Address:

15550 W CAMERON DR
SURPRISE, AZ
85379-1055

Practice Phone: 623-234-8655
Practice Fax: 623-234-1335

1336001502 — ACES 2020, LLC
Practice Location Address:

13700 N DYSART RD STE 180
SURPRISE, AZ
85379-3319

Practice Phone: 855-223-7123
Practice Fax: 619-374-7134

1477414860 — THRIVE HEALTH HOLDINGS, INC.
Practice Location Address:

15411 W WADDELL RD STE 102-1061
SURPRISE, AZ
85379-5170

Practice Phone: 406-560-7083
Practice Fax:

1750244257 — PHILLIP FRIEDRICH
Practice Location Address:

13794 W WADDELL RD STE 204&205
SURPRISE, AZ
85379-8499

Practice Phone: 623-224-2161
Practice Fax: 623-224-2162

1417936014 — DR. STEVEN R HOLT OD
Practice Location Address:

15341 W WADDELL RD # 106
SURPRISE, AZ
85379

Practice Phone: 623-932-2020
Practice Fax: 623-932-2668

1215916374 — MS. RAYLENE SHORT
Practice Location Address:

11648 N 151ST LN
SURPRISE, AZ
85379-5316

Practice Phone: 602-622-6584
Practice Fax:

Directions to “LORNA ENTERPRISES,LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.