SEQUELCARE OF ARIZONA, LLC (NPI# 1154443331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154443331 |
| Entity Type | Organization |
| Organization Name | SEQUELCARE OF ARIZONA, LLC |
| Other Organization Name | FOSTER CARE |
| Practice Address |
8603 E. Eastridge Drive Ste. A Prescott Valley AZ 86314 |
| Practice Telephone | 9287773280 |
| Practice Fax Number | 9287781252 |
| Mailing Telephone | 9287773280 |
| Mailing Fax Number | 9287781252 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-02-01 |
| Authorized Official Name | MRS. NADINE RAMIREZ (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9287773280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | ========= A7 | AZ | Agencies |
| Other Name | Type Code |
|---|---|
| Foster Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275860702 | Sequelcare of Arizona, LLC | Community/Behavioral Health | 450 West 5th Place, Mesa, AZ 85201 | 2009-11-04 |
| 1003060534 | Sequelcare of Arizona, LLC | Community Based Residential Treatment Facility, Mental Illness | 14410 E. Blue Ridge Road, Dewey, AZ 86327 | 2008-11-11 |
| 1063663391 | Sequelcare of Arizona, LLC | Community Based Residential Treatment Facility, Mental Illness | 3160 N. Pine View Drive, Prescott Valley, AZ 86314-2534 | 2008-10-06 |
| 1376601914 | Sequelcare of Arizona, LLC | Counselor | 3170 Stillwater Dr., Prescott, AZ 86305 | 2006-12-05 |
| 1588740930 | Sequelcare of Arizona, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9435 E Smoki Trail, Dewey, AZ 86327-6990 | 2006-10-28 |
| 1184712143 | Sequelcare of Arizona, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 6070 N. Treadway Trail, Flagstaff, AZ 86004 | 2006-10-11 |
| 1780777540 | Sequelcare of Arizona, LLC | Community Based Residential Treatment Facility, Mental Illness | 4001 North Catherine Drive, Prescott Valley, AZ 86314 | 2006-10-02 |
| 1770676439 | Sequelcare of Arizona, LLC | Community Based Residential Treatment Facility, Mental Illness | 3240 Hualapai Mountain Road, Kingman, AZ 86401 | 2006-10-02 |
| 1124407390 | Sequelcare of Arizona, LLC | Behavioral Analyst | 8603 E Eastridge Rd, Prescott Valley, AZ 86314-8562 | 2015-05-21 |
| Street Address |
8603 E. EASTRIDGE DRIVE STE. A |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336265982 | County of Yavapai | Public Health or Welfare | 3212 N Windsong Dr, Prescott Valley, AZ 86314-2255 | 2007-03-22 |
| 1942539648 | Yavapai County | Public Health or Welfare | 6717 E 2nd St, Suite D, Prescott Valley, AZ 86314-2659 | 2009-12-09 |
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|---|---|---|---|---|
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| 1508481854 | Hamoecrc, LLC | Public Health or Welfare | 4413 N 106th Ave, Phoenix, AZ 85037-5563 | 2020-06-12 |
| 1699307306 | Arizona Healthcare Outreach | Public Health or Welfare | 3581 W Northern Ave Ste 8, Phoenix, AZ 85051-9404 | 2020-02-10 |
| 1962949008 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 | 2017-01-27 |
| 1316484462 | Golder Ranch Fire District | Public Health or Welfare | 3885 E Golder Ranch Dr, Tucson, AZ 85739-9797 | 2017-01-27 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1316304546 | Psa Behavioral Health Agency | Public Health or Welfare | 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 | 2016-01-19 |
| 1346606761 | Banner Whole Health Clinic | Public Health or Welfare | 535 N, Wimont, Tucson, AZ 85711 | 2016-01-14 |
| 1467822734 | Psa Behavioral Health Agency | Public Health or Welfare | 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 | 2015-09-30 |
| 1003207226 | Summit Fire District | Public Health or Welfare | 8905 Koch Field Rd, Flagstaff, AZ 86004-3261 | 2015-02-10 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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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.