SUN CITY AREA INTERFAITH SERVICES, INC (NPI# 1144675307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144675307 |
Entity Type | Organization |
Organization Name | SUN CITY AREA INTERFAITH SERVICES, INC |
Other Organization Name | BENEVILLA |
Practice Address |
16752 N Greasewood St Surprise AZ 85378-3639 |
Practice Telephone | 6235844999 |
Mailing Telephone | 6235844999 |
Enumeration Date | 2016-04-25 |
Last Update Date | 2016-04-25 |
Authorized Official Name | MRS. MICHELLE DIONISIO (PRESIDENT/CEO) |
Authorized Official Telephone | 6235844999 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
AL0215D | AZ | Ambulatory Health Care Facilities |
N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
AL1083D | AZ | Ambulatory Health Care Facilities |
N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
AL2905D | AZ | Ambulatory Health Care Facilities |
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
AL7567D | AZ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 194879 | 05 |
Other Name | Type Code |
---|---|
Benevilla | Doing Business As Name - Organization |
Street Address |
16752 N GREASEWOOD ST |
City | SURPRISE |
State | AZ |
Zip Code | 85378-3639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023627064 | Ruth Ann Lundeen | Registered Nurse | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2020-07-27 |
1275142432 | Gloria Lisa Ford | Registered Nurse | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2020-07-23 |
1770191280 | Robert Sopher | Registered Nurse | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2020-07-21 |
1932556537 | Melinda Hauss | Registered Nurse | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2016-05-24 |
1326494675 | Judy Reisener | Registered Nurse | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2016-05-05 |
1235584608 | Kellie Rae Edwards | Registered Nurse | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2016-05-04 |
1184079527 | Shirley Hinshaw | Respite Care | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2016-05-03 |
1093160673 | Sherry Wagoner | Registered Nurse | 16752 N Greasewood St, Surprise, AZ 85378-3639 | 2016-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467947101 | Destiny Springs Healthcare, LLC | Psychiatric Hospital | 17300 N. Dysart Road, Surprise, AZ 85378 | 2018-06-26 |
1881013480 | Amanda Brimlow | Specialist | 12425 West Bell Rd, Suite 200, Surprise, AZ 85378 | 2014-04-10 |
1598193104 | Kalin Marie Harding | Nurse Practitioner | 12425 W. Bell Rd., Suite 106, Suprise, AZ 85378 | 2013-10-16 |
1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
1962756528 | Daniel Allen Dryer | Registered Nurse | 11607 W. Mingus Mt. Ct., Surprise, AZ 85378 | 2012-11-05 |
1124374715 | Rabeca Vatamaniuc | Home Health Aide | 11151 W Lily Mckinley Dr, Surprise, AZ 85378 | 2012-08-01 |
1710073457 | Arizona's Children Association | Clinic/Center | 11321 West Bell Road, Suite 401, Surprise, AZ 85378 | 2006-10-04 |
1538429121 | Sr Billing | Anesthesiology | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378 | 2012-05-17 |
1457515579 | Madhuri Dhupati & Associates Md PC. | Clinic/Center | 12647 W Smokey Dr Ste 119, Surprise, AZ 85378 | 2008-07-17 |
1205267119 | Post-acute Physicians of Arizona Pllc | Physical Medicine & Rehabilitation | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2013-12-02 |
Find all providers in zip 85378 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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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.