MR. ROBERT LUTTON (NPI# 1124193693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124193693 |
Entity Type | Individual |
Full Name | MR. ROBERT LUTTON |
Other Name | MRS. RHONA LUTTON |
Practice Address |
2908 E Enid Ave Mesa AZ 85204-4726 |
Practice Telephone | 4806415666 |
Mailing Telephone | 4806415666 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
5822 | AZ | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AHCCCS ID NUMBER | 789662 | 01 |
Street Address |
2908 E ENID AVE |
City | MESA |
State | AZ |
Zip Code | 85204-4726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
Find all providers in zip 85204 |
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 |
---|---|---|---|---|
1952955254 | Ceraina Hull | Respite Care | 8430 E Keats Ave, Mesa, AZ 85209-4345 | 2019-07-25 |
1912423732 | Red Mountain Behavioral Health Services | Respite Care | 10634 E Posada Ave, Mesa, AZ 85212-1872 | 2017-08-15 |
1265859235 | Red Mountain Behavioral Health Services, LLC | Respite Care | 8448 E Lindner Ave, Mesa, AZ 85209-4369 | 2014-03-27 |
1568887016 | Red Mountain Behavioral Health Services, LLC | Respite Care | 11231 E. Segura, Mesa, AZ 85212-2427 | 2014-02-20 |
1982045654 | Anne Ngigi | Respite Care | 3139 S 82nd Cir, Mesa, AZ 85212-1670 | 2013-07-10 |
1740523687 | Red Mountain Behavioral Health Services | Respite Care | 1024 N Arvada, Mesa, AZ 85205-5433 | 2013-03-28 |
1104176536 | Zarephath Inc. | Respite Care | 9310 E Princess Dr, Mesa, AZ 85207-4315 | 2012-09-13 |
1588914915 | Zarephath Inc. | Respite Care | 11358 E Sonrisa Ave, Mesa, AZ 85212-7077 | 2012-09-13 |
1376875930 | Linda Delgardo | Respite Care | 9431 E Coralbell Ave, Mesa, AZ 85208-5801 | 2010-02-08 |
1679700272 | Kathy M Siebert Hay | Respite Care | 9065 E Hobart St, Mesa, AZ 85207-4248 | 2009-06-22 |
Find all providers in MESA |
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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.