ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC. (NPI# 1164692307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164692307 |
| Entity Type | Organization |
| Organization Name | ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC. |
| Other Organization Name | OREGON |
| Practice Address |
6835 W Oregon Ave Glendale AZ 85303-5926 |
| Mailing Address |
110 W Camelback Rd Phoenix AZ 85013-2564 |
| Practice Telephone | 6238461798 |
| Mailing Telephone | 6022302222 |
| Mailing Fax Number | 6022302026 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | MRS. JACKIE MOLER (VP, COO) |
| Authorized Official Telephone | 6022302222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | BH-1824 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 536120 | 05 |
| Other Name | Type Code |
|---|---|
| Oregon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811167067 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2208 W Keim Dr, Phoenix, AZ 85015-1943 | 2008-03-04 |
| 1407026644 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5344 N 40th Ln, Phoenix, AZ 85019-2213 | 2008-03-04 |
| 1699945824 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7722 N 42nd Ave, Phoenix, AZ 85051-5711 | 2008-03-04 |
| 1013187277 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2022 W State Ave, Phoenix, AZ 85021-7838 | 2008-03-04 |
| 1003086232 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6627 W Kings Ave, Glendale, AZ 85306-1615 | 2008-03-04 |
| 1477723617 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4301 W Windrose Dr, Glendale, AZ 85304-2102 | 2008-03-04 |
| Street Address |
6835 W OREGON AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85303-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962050138 | Karina Navarrete | Specialist/Technologist | 7418 W. Fleetwood Ln, Glendale, AZ 85303 | 2019-08-29 |
| 1043733280 | Ainsley P. Vergara | Speech-Language Pathologist | 7355 W Orangewood Ave, Glendale, AZ 85303 | 2017-07-19 |
| 1043688492 | Karina Sosa | Specialist/Technologist | 7829 W San Miguel Avenue, Glendale, AZ 85303 | 2015-09-02 |
| 1437546462 | Westwind Dental Glendale, Pllc | Dentist | 6740 W Camelback Road, Glendale, AZ 85303 | 2015-04-16 |
| 1336498906 | Revival Home Care | Assisted Living Facility | 8269 W State Ave, Glendale, AZ 85303 | 2012-08-29 |
| 1700153707 | Habiitation and Independant Living Inc | Nursing Care | 7304 N 82nd Ave, Glendale, AZ 85303 | 2011-11-19 |
| 1225160658 | Kristy Beth Malecki | Speech-Language Pathologist | 7355 W Orangewood, Desert Spirit School, Glendale, AZ 85303 | 2007-03-12 |
| 1104980325 | Sharon Yvonne Thompson | Technician | 7384 W Colter St, Glendale, AZ 85303 | 2006-12-21 |
| 1447772264 | Bob Kabamba | Behavior Technician | 7136 N 73rd Dr, Gendale, AZ 85303 | 2017-07-13 |
| 1427420504 | Quick Med Center LLC | Family Medicine | 5104 N 67th Ave, Glendale, AZ 85303 | 2015-10-28 |
| Find all providers in zip 85303 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 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 |
| 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 |
| 1447688502 | Angels Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4419 W Berridge Lane, Glendale, AZ 85311 | 2013-10-28 |
| 1659713550 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6026 W Sunnyside Dr, Glendale, AZ 85304-2532 | 2013-07-22 |
| 1003086232 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6627 W Kings Ave, Glendale, AZ 85306-1615 | 2008-03-04 |
| 1477723617 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4301 W Windrose Dr, Glendale, AZ 85304-2102 | 2008-03-04 |
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|---|---|---|---|---|
| 1356948954 | Forever Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4200 N Pebble Creek Pkwy Apt 2069, Goodyear, AZ 85395-9028 | 2020-10-06 |
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| 1437768892 | Max Care Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2239 W Hasan Dr, Phoenix, AZ 85041-5312 | 2020-07-30 |
| 1265050876 | Arizona Alternative Support, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36379 W El Greco St, Maricopa, AZ 85138-5323 | 2020-07-09 |
| 1255957304 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7209 W Forest Grove Ave, Phoenix, AZ 85043-7303 | 2020-06-24 |
| 1265067052 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7321 S 15th Dr, Phoenix, AZ 85041-6932 | 2020-03-12 |
| 1083249874 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1506 E Irwin Ave, Phoenix, AZ 85042-5618 | 2020-03-12 |
| 1861024069 | New Roots Residency LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3139 W Carson Rd, Phoenix, AZ 85041-6342 | 2020-02-06 |
| 1972149078 | Serenitybehavioralhealth.llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15202 N Flamenco Dr, Phoenix, AZ 85053-4872 | 2019-11-23 |
| 1952945370 | Natalie Miranda Contreras | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5717 S Southland Blvd Apt D, Tucson, AZ 85706-4241 | 2019-10-29 |
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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.