Provider Demographics
NPI:1437861564
Name:SUNRISE OASIS OF GILBERT ASSISTED LIVING
Entity Type:Organization
Organization Name:SUNRISE OASIS OF GILBERT ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:828-550-7680
Mailing Address - Street 1:401 W MCNAIR ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-7134
Mailing Address - Country:US
Mailing Address - Phone:623-777-3935
Mailing Address - Fax:623-321-6931
Practice Address - Street 1:4302 E SAINT JOHN RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2285
Practice Address - Country:US
Practice Address - Phone:623-777-3935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances