| Silver House Healthcare Llc | |
|
13507 N 145th Dr Surprise AZ 85379-6162 | |
| (202) 681-1274 | |
| Not Available |
| Full Name | Silver House Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13507 N 145th Dr, Surprise, Arizona |
| Authorized Official Name and Position | Aspen Decker (CEO) |
| Authorized Official Contact | 2026811274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver House Healthcare Llc 13507 N 145th Dr Surprise AZ 85379-6162 Ph: (202) 681-1274 | Silver House Healthcare Llc 13507 N 145th Dr Surprise AZ 85379-6162 Ph: (202) 681-1274 |
| NPI Number | 1912611997 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 2062894181 |
|---|---|
| Medicare Enrollment ID | O20220804003595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912611997 | NPI | - | NPPES |
| Provider Name | Regina Jo Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275186413 PECOS PAC ID: 4183954936 Enrollment ID: I20190923000804 |
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