RESILIENCY OUTREACH COMMUNITY SERVICES, INC (NPI# 1093370561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093370561 |
| Entity Type | Organization |
| Organization Name | RESILIENCY OUTREACH COMMUNITY SERVICES, INC |
| Practice Address |
15970 S Shibell Circle Unit A Arizona City AZ 85123 |
| Mailing Address |
Po Box 3699 Arizona City AZ 85123-2459 |
| Practice Telephone | 5207094645 |
| Mailing Telephone | 5207094645 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | RENEE BURTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5207094645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
15970 S SHIBELL CIRCLE UNIT A |
| City | ARIZONA CITY |
| State | AZ |
| Zip Code | 85123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548794142 | Ajo Community Health Center | Clinic/Center | 13060 S Sunland Gin Rd, Arizona City, AZ 85123 | 2017-04-20 |
| 1578009759 | Park Place Outreach & Counseling Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 15136 S Avalon Rd, Arizona City, AZ 85123 | 2017-01-12 |
| 1073908810 | Ccr Intergrated Health | Psychiatric Residential Treatment Facility | 12268 W Delwood Drive, 3699, Arizona City, AZ 85123 | 2015-03-30 |
| 1972940237 | Arizona City Health Associates, Inc. | Family Medicine | 13060 South Sunland Gin Road, Arizona City, AZ 85123 | 2013-05-28 |
| 1407129950 | Jr Neng Hernandez Assisted Living | Assisted Living Facility | 11528 W Madero Dr, Arizona City, AZ 85123 | 2012-02-14 |
| 1255617874 | L& C Healthcare Services | Community/Behavioral Health | 4902 N Lakeshore Drive, Suite1564, Arizona City, AZ 85123 | 2011-10-27 |
| 1548546039 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 13100 S. Sunland Gin Road., Suite 1-3, Arizona City, AZ 85123 | 2011-10-27 |
| 1679855878 | Deborah Ann Dexter | Specialist/Technologist | 10089 Concordia Dr., Arizona City, AZ 85123 | 2011-09-13 |
| 1932420403 | Arizona Counseling & Treatment Services, L.L.C. | Community/Behavioral Health | 13100 S. Sunland Gin Rd., Ste. 1, Arizona City, AZ 85123 | 2010-06-18 |
| 1780679571 | Chad Goetz | Naturopath | 16286 South Sunland Gin Road, Arizona City, AZ 85123 | 2005-09-16 |
| Find all providers in zip 85123 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477637 | David Leland Bushong | Case Manager/Care Coordinator | 5560 N Pawnee Dr, Prescott Valley, AZ 86314-4455 | 2020-11-05 |
| 1790385094 | Shannon Elizabeth Packard | Case Manager/Care Coordinator | 3704 E Sparrow Ln, Camp Verde, AZ 86322-6142 | 2020-10-27 |
| 1881292068 | Jacquelyn Awosika | Case Manager/Care Coordinator | 20148 N Donithan Way, Maricopa, AZ 85138-2428 | 2020-10-11 |
| 1508463498 | Hands N Hearts Home Care LLC | Case Manager/Care Coordinator | 4407 S Agave Ave, Yuma, AZ 85365-6395 | 2020-10-05 |
| 1790390912 | Levon J Howard | Case Manager/Care Coordinator | 5325 N 61st Ave, Glendale, AZ 85301-6613 | 2020-09-14 |
| 1902411184 | Troy Friedman | Case Manager/Care Coordinator | 19609 S Mcqueen Rd, Chandler, AZ 85286-1903 | 2020-09-14 |
| 1104439538 | April J Winston | Case Manager/Care Coordinator | 2375 E Camelback Rd Ste 600628, Phoenix, AZ 85016-3424 | 2020-08-25 |
| 1629603469 | Glenda Dillard | Case Manager/Care Coordinator | 7405 S 39th Dr, Phoenix, AZ 85041-6002 | 2020-03-11 |
| 1851937296 | Jill Diane Smith-perez | Case Manager/Care Coordinator | 3910 Lindsey Ave, Kingman, AZ 86409-0959 | 2019-11-20 |
| 1013565548 | Synovation Integrated Partners, LLC | Case Manager/Care Coordinator | 6328 E Brown Rd Ste 107, Mesa, AZ 85205-4841 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
| City | ARIZONA CITY |
| Zip Code | 85123 |
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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.