NOEL I VANDYKE (NPI# 1073748463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073748463 |
Entity Type | Individual |
Full Name | NOEL I VANDYKE |
Practice Address |
3542 E Amarillo Way Queen Creek AZ 85240-4320 |
Practice Telephone | 4808889413 |
Mailing Telephone | 4808889413 |
Enumeration Date | 2009-05-28 |
Last Update Date | 2009-05-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
1349601 | AZ | Respite Care Facility |
Street Address |
3542 E AMARILLO WAY |
City | QUEEN CREEK |
State | AZ |
Zip Code | 85240-4320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841512407 | Smi Imaging, LLC | Radiology | 36297 N Gantzel Road, Suite 101, Queen Creek, AZ 85240 | 2010-02-24 |
1912152315 | Rebecca Wynn Sheridan | Registered Nurse | 301 E. Combs Rd, Queen Creek, AZ 85240 | 2008-11-26 |
1255598751 | Ironwood Dental Care PC | Dentist | 35 West Combs Rd, Suite 102, Queen Creek, AZ 85240 | 2008-05-21 |
1700086964 | Brandon Rosenberg | Occupational Therapist | 1301 E Debbie Dr, Queen Creek, AZ 85240-4003 | 2007-07-24 |
1437337409 | Danielle Suzanne Stuhlmiller | Psychologist | 475 E Chelsea Dr, Queen Creek, AZ 85240-5271 | 2008-02-01 |
1174774608 | Yajcinllc | Residential Treatment Facility, Emotionally Disturbed Children | 1609 E Heather Dr, Queen Creek, AZ 85240-5682 | 2008-10-02 |
1598930216 | The House of Change | Community Based Residential Treatment Facility, Mental Illness | 41335 N Arbor Ave, Queen Creek, AZ 85240-6120 | 2008-04-23 |
1386891877 | Julie Ann Thacker | Occupational Therapist | 1196 E Altadonna St, Queen Creek, AZ 85240-7846 | 2008-08-26 |
1134301492 | Brendan Darell Cluff | Occupational Therapist | 2018 E Paso Fino Dr, Queen Creek, AZ 85240-7875 | 2007-11-28 |
1033380316 | Ocotillo Trails Family Dentistry | Dentist | 40975 N Ironwood Rd, #a102, Queen Creek, AZ 85240-8906 | 2008-03-14 |
Find all providers in zip 85240 |
Taxonomy Code | 385HR2055X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Illness, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972163293 | Harold Kilgore | Respite Care | 3734 E Longhorn St, Queen Creek, AZ 85140-4303 | 2019-06-18 |
1932567229 | Adriana Ratzlaff | Respite Care | 20820 E Pickett St, Queen Creek, AZ 85142-9533 | 2016-02-02 |
1700038262 | Lonnie L Bellamy | Respite Care | 18611 E Swan Dr, Queen Creek, AZ 85242-5148 | 2008-10-15 |
1548326085 | Todd Kemmerer | Respite Care | 861 E Chelsea Dr, Queen Creek, AZ 85242-5658 | 2006-12-29 |
1407912298 | Jeffrey J. Hamilton | Respite Care | 2712 W Gold Dust Ave, Queen Creek, AZ 85242-6725 | 2006-12-28 |
1396801957 | Stanley Jamar Pruitt | Respite Care | 35510 N Belgian Blue Ct, Queen Creek, AZ 85243-5518 | 2006-12-28 |
1639243512 | Gregory Tarazon | Respite Care | 2019 W Vineyard Plains Dr, Queen Creek, AZ 85242-6378 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
Find all providers with the same taxonomy |
City | QUEEN CREEK |
Zip Code | 85240 |
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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.