1203 PALLOVERDE LLC (NPI# 1114233079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114233079 |
| Entity Type | Organization |
| Organization Name | 1203 PALLOVERDE LLC |
| Practice Address |
1203 W Palo Verde Dr Chandler AZ 85224-2358 |
| Practice Telephone | 2022880422 |
| Mailing Telephone | 2022880422 |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2010-08-28 |
| Authorized Official Name | MR. BRIAN HACKETT (PRESIDENT) |
| Authorized Official Telephone | 2022880422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
AL7815H | AZ | Ambulatory Health Care Facilities |
| Street Address |
1203 W PALO VERDE DR |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
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| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184260366 | Mark Allan Young | Clinic/Center | 208 W Chandler Heights Rd Ste 102, Chandler, AZ 85248-5065 | 2019-11-21 |
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| 1497267892 | Catholic Community Services Yuma | Clinic/Center | 321 S 15th Ave, Yuma, AZ 85364-1939 | 2017-10-26 |
| 1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
| 1437687910 | Golden Times Care Center LLC | Clinic/Center | 11036 N 28th Dr Unit 111, Phoenix, AZ 85029-4305 | 2017-05-30 |
| 1982150884 | K & C Ventures LLC | Clinic/Center | 4013 E Broadway Rd, Phoenix, AZ 85040-8818 | 2016-08-30 |
| 1891142840 | Suntree Center LLC | Clinic/Center | 4120 N 20th St Ste H, Phoenix, AZ 85016-6022 | 2016-05-19 |
| 1144675307 | Sun City Area Interfaith Services, Inc | Clinic/Center | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2016-04-25 |
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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.