Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Surprise Residential Assisted Living

Organization Assisted Living Facility · NPI 1053539700

Surprise Residential Assisted Living is an Assisted Living Facility in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

17218 W Statler St
Surprise, AZ 85388-1265
Phone: (602) 369-1254
Fax: (602) 595-1659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X (AZ)

Record details

NPI number1053539700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaiba Barry — Manager · (602) 404-8196
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address17633 N 14th St, Phoenix, AZ 85022-2001

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