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Contact Information

SE SURPRISE OPCO, LLC
14775 W YORKSHIRE DR
SURPRISE, AZ85374
 Phone: 623-594-5050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SE SURPRISE OPCO, LLC

NPI # 1134007370
LBN Legal business name SE SURPRISE OPCO, LLC
Authorized official TIMOTHY O'BRIEN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2025
Last updated 08/25/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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