SONORAN SKY COMMUNITY SERVICES (NPI# 1124579578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124579578 |
| Entity Type | Organization |
| Organization Name | SONORAN SKY COMMUNITY SERVICES |
| Practice Address |
4226 W Marco Polo Rd Glendale AZ 85308-2285 |
| Mailing Address |
9601 N Black Canyon Hwy Phoenix AZ 85021-2702 |
| Practice Telephone | 6238696882 |
| Practice Fax Number | 6026740942 |
| Mailing Telephone | 6022160518 |
| Mailing Fax Number | 6026740942 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | SUSAN CAROL SOYARS (DIRECTOR) |
| Authorized Official Telephone | 6022160518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | DDH1269 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528504826 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4214 W Behrend Dr, Glendale, AZ 85308-2284 | 2017-01-10 |
| 1134665680 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4912 W Echo Ln, Glendale, AZ 85302-6315 | 2017-01-09 |
| 1588100036 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 8028 N 56th Ln, Glendale, AZ 85302-4661 | 2017-01-09 |
| 1679019129 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 19808 N 42nd Ave, Glendale, AZ 85308-2291 | 2017-01-09 |
| 1710423389 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 3912 W Potter Dr, Glendale, AZ 85308-4605 | 2017-01-06 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1770029340 | Sonoran Sky Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4226 W. Marco Polo, Glendale, AZ 85308 | 2017-01-06 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1629514294 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 3913 W Lone Cactus Dr, Glendale, AZ 85308-4700 | 2017-01-06 |
| 1538605100 | Sonoran Sky Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4508 W El Caminito Dr, Glendale, AZ 85302-6513 | 2017-01-06 |
| Street Address |
4226 W MARCO POLO RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-2285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174041883 | Sonoran Sky Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4226 W Marco Polo Rd, Glendale, AZ 85308-2285 | 2017-09-01 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598302028 | Hearn House 2 LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8793 W Maryland Ave, Glendale, AZ 85305-2469 | 2019-12-03 |
| 1568947364 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4656 W Juniper Ave, Glendale, AZ 85306-1500 | 2018-09-27 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1942668090 | Hearn House LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5520 N 71st Ave, Glendale, AZ 85303-5324 | 2016-02-03 |
| 1477895506 | Orion Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4635 W Aster Dr, Glendale, AZ 85304-2126 | 2013-03-27 |
| 1134461668 | Orion Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5806 W Townley Ave, Glendale, AZ 85302-4610 | 2013-03-22 |
| 1831431352 | Orion Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4509 W Columbine Dr, Glendale, AZ 85304-2325 | 2013-03-22 |
| 1124360656 | Orion Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7301 W Union Hills Dr, Glendale, AZ 85308-8150 | 2013-03-22 |
| 1316237076 | A Fresh Start and New Beginnings | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4105 W Villa Linda Dr, Glendale, AZ 85310-5157 | 2011-04-15 |
| 1093915993 | Doris Scrozzo | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 70-38 67th Street, Glendale, NY 11385 | 2007-07-19 |
| 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.