XANADU (NPI# 1164663498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164663498 |
Entity Type | Organization |
Organization Name | XANADU |
Other Organization Name | ALEXANDRA JAKAB |
Practice Address |
9030 N 64th Ave Glendale AZ 85302-4003 |
Mailing Address |
9030 N 64th Avenue Glendale AZ 85302 |
Practice Telephone | 4802215427 |
Mailing Telephone | 4802215427 |
Enumeration Date | 2009-03-17 |
Last Update Date | 2009-03-17 |
Authorized Official Name | MISS ALEXANDRA JAKAB (DIRECTOR) |
Authorized Official Telephone | 4802215427 |
Authorized Official Credential | BHT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
BH3129 | AZ | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Alexandra Jakab | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Xanadu - 3 Host Home Rail | 5401 Kirk Street, Denver, CO 80249 |
Colorado Business Entities | Xanadu Asset Management LLC | 14016 E Fair Pl, Centennial, CO 80111 |
Colorado Business Entities | Xanadu Assisted Living Residence Inc. | 1391 Xanadu Street, Aurora, CO 80011 |
Virginia Business Entities | Xanadu Botanicals & Design LLC | 8082 Leishear Road, Laurel, Maryland 20723 |
System for Award Management (SAM) Entities | XANADU BOTANICALS & DESIGN, LLC | 14200 Cherry Lane Ct, Laurel, MD 20707-4900 |
New York State Corporations | XANADU BOUTIQUE INC. | 28 Liberty St., New York, Ny 10005 |
Massachusetts Corporations | XANADU BUILDERS, INC. | Box 1579, Tisbury, MA 02568 |
Oklahoma Business Registrations | XANADU CAFE L.L.C. | 2101 N Lincoln Blvd, Oklahoma City, OK 73105 |
Connecticut Business Registrations | XANADU CAPITAL LLC | 1345 East Putnam Avenue, Greenwich, CT 06870 |
New York State Corporations | XANADU CLEANING SERVICES, INC. | 668 Irene St, South Hempstead, Ny 11550 |
Street Address |
9030 N 64TH AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85302-4003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
Find all providers in zip 85302 |
Taxonomy Code | 3104A0625X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Mental Illness |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184231953 | Frontier Home Health Care Sober Living of Arizona, Corp | Assisted Living Facility | 8604 N 43rd Dr, Glendale, AZ 85302-5317 | 2020-09-25 |
1952781247 | Skylark Ach LLC | Assisted Living Facility | 12034 N 46th Ln, Glendale, AZ 85304-3012 | 2015-06-02 |
1346364866 | Camelia Igna | Assisted Living Facility | 6127 W Westwind Dr, Glendale, AZ 85310 | 2007-03-19 |
1720130404 | Cindy Hicks | Assisted Living Facility | 4602 W Monte Cristo Ave, Glendale, AZ 85306-2724 | 2007-01-16 |
1841565256 | Apollo Health Care, Inc. | Assisted Living Facility | 8322 W Oregon Ave, Glendale, AZ 85305-3302 | 2012-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174120703 | Charite Home | Assisted Living Facility | 6057 S Avenida Caneca, Tucson, AZ 85706-5073 | 2020-10-06 |
1245847664 | Young Life Al Inc. | Assisted Living Facility | 2334 W Rancho Dr, Phoenix, AZ 85015-2211 | 2020-09-29 |
1679180517 | Trinity's House | Assisted Living Facility | 6692 E Via Boca Chica, Tucson, AZ 85756-8309 | 2020-09-24 |
1811526148 | Phoenix Comfort Homes LLC | Assisted Living Facility | 17643 N 17th St, Phoenix, AZ 85022-2113 | 2020-04-07 |
1508493016 | Good Care Network LLC | Assisted Living Facility | 4775 E Kristen Dr, Prescott, AZ 86301-5803 | 2020-03-25 |
1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
1669002168 | Better Horizons Behavioral Health LLC | Assisted Living Facility | 1136 W Fever Tree Ave, San Tan Valley, AZ 85140-7682 | 2020-01-23 |
1225697386 | Alpine Villa LLC | Assisted Living Facility | 2144 W Luke Ave, Phoenix, AZ 85015-2319 | 2019-06-11 |
1225510118 | Adagio Luxury 4 LLC | Assisted Living Facility | 1045 E Bethany Home Rd, Phoenix, AZ 85014-2229 | 2018-09-06 |
1033664081 | Peggy Nyalita | Assisted Living Facility | 3532 W Boston St, Chandler, AZ 85226-3813 | 2016-08-19 |
Find all providers with the same taxonomy |
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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.