Lake Pleasant Healthcare, Inc.
NPI 1083094965ActiveOrganization· Skilled Nursing Facility· Peoria, AZ
Skilled Nursing Facility in Peoria, Arizona, registered in NPPES in June 2015. The authorized official on file is Soon Burnam, Treasurer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1083094965 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2015 |
| Last updated in NPPES | Feb 16, 2021 |
| Certified by provider | Feb 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (AZ) |
|---|
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