ELENA BABETZ (NPI# 1073055737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073055737 |
| Entity Type | Individual |
| Full Name | ELENA BABETZ |
| Practice Address |
22432 N 80th Ln Peoria AZ 85383-2149 |
| Practice Telephone | 6232034708 |
| Practice Fax Number | 6233216888 |
| Mailing Telephone | 6232034708 |
| Mailing Fax Number | 6233216888 |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1634 W Andorra Dr, Phoenix, AZ 850291718 | 6232342442 |
| Street Address |
22432 N 80TH LN |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913998 | Vema Corporation | Community Based Residential Treatment Facility, Mental Illness | 12701 N 79th Dr, Peoria, AZ 85381-9049 | 2020-08-20 |
| 1851926166 | Miss A's LLC | Community Based Residential Treatment Facility, Mental Illness | 9143 N 82nd Ln, Peoria, AZ 85345-4827 | 2020-03-06 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1871095232 | Loving Hands LLC | Community Based Residential Treatment Facility, Mental Illness | 9323 W Harmony Ln, Peoria, AZ 85382-8374 | 2018-03-01 |
| 1316453913 | Love for The Children Group Home | Community Based Residential Treatment Facility, Mental Illness | 20277 N 93rd Ave, Peoria, AZ 85382-5319 | 2017-12-18 |
| 1265967012 | Abba Behavioral Health,llc | Community Based Residential Treatment Facility, Mental Illness | 21388 N 106th Ln, Peoria, AZ 85382-0522 | 2017-04-28 |
| 1114465978 | Orion Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 8302 W Donald Dr, Peoria, AZ 85383-2041 | 2017-02-01 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1447795992 | Miss A's LLC | Community Based Residential Treatment Facility, Mental Illness | 8606 N 68th Ln, Peoria, AZ 85345-8451 | 2016-12-19 |
| 1942743711 | Loloma House LLC | Community Based Residential Treatment Facility, Mental Illness | 15259 N 67th Dr, Peoria, AZ 85381-4502 | 2016-11-29 |
| Find all providers in PEORIA | ||||
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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.