CAREFREE MANOR ASSISTED LIVING LLC (NPI# 1023658127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023658127 |
| Entity Type | Organization |
| Organization Name | CAREFREE MANOR ASSISTED LIVING LLC |
| Practice Address |
7886 E Breathless Dr Carefree AZ 85377 |
| Mailing Address |
Po Box 910 Carefree AZ 85377-0910 |
| Practice Telephone | 6236982322 |
| Mailing Telephone | 6236982322 |
| Mailing Fax Number | 4805953175 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | LUCY ANGELINA CARRASCO (ADMIMISTRATOR) |
| Authorized Official Telephone | 6236982322 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| CAREFREE MANOR ASSISTED LIVING LLC | Doing Business As Name - Organization |
| Street Address |
7886 E BREATHLESS DR |
| City | CAREFREE |
| State | AZ |
| Zip Code | 85377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579913 | Patricia Lillian Miller | Counselor | 36809 N Dream St, Carefree, AZ 85377 | 2020-05-07 |
| 1457997744 | Dream Street Care LLC | Custodial Care Facility | 37412 N Dream Street, Carefree, AZ 85377 | 2019-11-21 |
| 1083189112 | Naomi Nicole Jimenez | Nurse Practitioner | 36889 N. Tom Darlington Dr. A4, Carefree, AZ 85377 | 2018-10-04 |
| 1982114385 | Primary Care Medical Group, LLC | General Practice | 36600 N. Pima Road, Ste 307, Carefree, AZ 85377 | 2017-10-11 |
| 1861917379 | Shauna Leigh Epperson | Physical Therapist | 36600 N Pima Rd #406, Carefree, AZ 85377 | 2017-08-04 |
| 1982139804 | Kaylee Paciora | Dietitian, Registered | 36800 N. Sidewinder Rd, A4, Carefree, AZ 85377 | 2017-04-28 |
| 1508308909 | Colleen Payne | Nurse Practitioner | 36800 N. Sidewinder Road, Ste A4, Carefree, AZ 85377 | 2016-11-16 |
| 1598148223 | Kenneth Kearns | Obstetrics & Gynecology | 36600 N. Pima Rd, Carefree, AZ 85377 | 2015-06-30 |
| 1699178020 | Faiza Malik | Pharmacist | 5400 East Carefree Highway, Carefree, AZ 85377 | 2014-09-30 |
| 1477813871 | George Koukouves | Massage Therapist | 36800 N. Sidewinder, A-8, Carefree, AZ 85377 | 2012-05-21 |
| Find all providers in zip 85377 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656651 | Serenity Home Care LLC | Residential Treatment Facility, Physical Disabilities | 6858 S 19th St, Phoenix, AZ 85042-5770 | 2020-10-10 |
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1497385892 | Serenity Home Care LLC | Residential Treatment Facility, Physical Disabilities | 4451 W St Anne Ave, Laveen, AZ 85339-6232 | 2020-01-24 |
| 1497234710 | Sampaguita D. Maglalang | Residential Treatment Facility, Physical Disabilities | My Home Care Adult Assisted Living Facility, LLC., 2607 West Curry Street, Chandler, AZ 85224-1040 | 2018-08-08 |
| 1326533407 | Neuro Rehabcare Scottsdale - Az LLC | Residential Treatment Facility, Physical Disabilities | 7480 E Camino Santo, Scottsdale, AZ 85260-3905 | 2018-06-29 |
| 1356853915 | Pastalino Manor 4 | Residential Treatment Facility, Physical Disabilities | 1421 E Maldonado Dr, Phoenix, AZ 85042-5602 | 2017-11-03 |
| 1770009219 | Neuro Rehabcare of The Valley - Az LLC | Residential Treatment Facility, Physical Disabilities | 8307 W Misty Willow Ln, Peoria, AZ 85383-1511 | 2017-08-16 |
| 1184150484 | Ndg Adult Care Home LLC | Residential Treatment Facility, Physical Disabilities | 1106 W 9th St, Tempe, AZ 85281-5304 | 2017-05-04 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1447658943 | Moses Behavioral Care | Residential Treatment Facility, Physical Disabilities | 17622 W Port Royale Ln, Surprise, AZ 85388-7792 | 2014-12-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.