ALICE MBUTHIA (NPI# 1114499373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114499373 |
| Entity Type | Individual |
| Full Name | ALICE MBUTHIA |
| Practice Address |
2663 E Omega Dr San Tan Valley AZ 85143-4625 |
| Practice Telephone | 4804525318 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | BH5527 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ DEPT OF HEALTH SERVICES | BH5527 | 01 |
| Street Address |
2663 E OMEGA DR |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85143-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
| 1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
| 1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
| 1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
| 1528496031 | Casey Manzanedo | Licensed Practical Nurse | 35900 E Charbray Dr., San Tan Valley, AZ 85143 | 2013-10-18 |
| 1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
| Find all providers in zip 85143 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493663 | Gina Hage | Respite Care | 441 S Vozack Ln, Tucson, AZ 85748-4505 | 2020-10-05 |
| 1780281535 | Rhonda Dodds | Respite Care | 2081 S Hidden Pasture Ln, Tucson, AZ 85748-7409 | 2020-10-05 |
| 1477162469 | Sarah Shellhouse | Respite Care | 4035 E Stony Meadow Dr, Tucson, AZ 85756-3076 | 2020-07-27 |
| 1700404589 | Prince Abbrey | Respite Care | 6506 E Brushback Loop, Tucson, AZ 85756-8437 | 2020-07-08 |
| 1548887730 | Tina Messan | Respite Care | 8325 E Pena Blanca Dr, Tucson, AZ 85730-1213 | 2020-07-03 |
| 1124640321 | Guadalupe Borbon | Respite Care | 5986 S Herpa Dr, Tucson, AZ 85706-4927 | 2020-05-11 |
| 1386266591 | Lubunga Mwimbilwa | Respite Care | 2805 W Tuckey Ln, Phoenix, AZ 85017-1240 | 2020-05-11 |
| 1306473251 | Joan Gachoki | Respite Care | 11017 E Aspen Ave, Mesa, AZ 85208-8638 | 2020-03-23 |
| 1265067102 | Reza Vafaie | Respite Care | 1070 W Sea Lion Dr, Tucson, AZ 85704-2542 | 2020-03-11 |
| 1669019725 | Thelma Lucero | Respite Care | 1386 E Mossman Rd, Tucson, AZ 85706-5625 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85143 |
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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.