OrganizationActive
Lake Pleasant Healthcare, Inc.
NPI 1376107904 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Peoria, AZ
Provider details
- NPI number
- 1376107904
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer(949) 540-1249
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20625 N Lake Pleasant Rd
Peoria, AZ 85382-9704
Phone: (623) 566-0642
Fax: (623) 476-3664
Street-level locationGet directions
Mailing address
20625 N Lake Pleasant Rd
Peoria, AZ 85382-9704
Other names (DBA / former)
- Doing business as
- Lake Pleasant Post Acute Rehabilitation Center
Registry dates
- Enumerated
- 2019-04-29
- Last updated
- 2019-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.