THERESA AVILA-LUEVANO (NPI# 1114334463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114334463 |
| Entity Type | Individual |
| Full Name | THERESA AVILA-LUEVANO |
| Practice Address |
6784 W Abraham Ln Glendale AZ 85308-8929 |
| Mailing Address |
Po Box 10713 Glendale AZ 85318-0713 |
| Practice Telephone | 4804330202 |
| Mailing Telephone | 4804330202 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| 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 |
4796817 | AZ | Respite Care Facility |
| Street Address |
6784 W ABRAHAM LN |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| 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 |
|---|---|---|---|---|
| 1306350145 | Pary Salih | Respite Care | 4937 W Myrtle Ave Apt 130, Glendale, AZ 85301-2140 | 2017-11-30 |
| 1447555297 | Stephanie D Ketner | Respite Care | 4730 W Sunnyside Ave, Glendale, AZ 85304-2927 | 2011-01-25 |
| 1518110063 | Sadie Curry | Respite Care | 4821 W Brown St, Glendale, AZ 85302-1813 | 2008-10-28 |
| 1861666828 | Danielle Christine Miglio | Respite Care | 5413 W Cochise Dr, Glendale, AZ 85302-1540 | 2008-04-21 |
| 1881863579 | Tanisha Lawrence | Respite Care | 8705 W Morten Ave, Glendale, AZ 85305-3944 | 2008-02-27 |
| 1275698193 | Kathy Eldridge | Respite Care | 8351 W San Miguel Ave, Glendale, AZ 85305-2910 | 2006-12-22 |
| 1336203546 | Suzan Porter | Respite Care | 7427 W Robin Ln, Glendale, AZ 85310-5679 | 2006-12-21 |
| 1700940731 | Brigitt Lynn Young | Respite Care | 4339 W Carol Ave, Glendale, AZ 85302-3812 | 2006-12-21 |
| 1134296601 | Charles Mccray | Respite Care | 8225 W Tuckey Ln, Glendale, AZ 85303-3210 | 2006-11-29 |
| 1578630018 | Devereux Foster Care | Respite Care | 5603 W Shangri La Rd, Glendale, AZ 85304-3851 | 2006-11-29 |
| Find all providers in GLENDALE | ||||
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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.