YOUR ANGEL ON DUTY, LLC (NPI# 1174046478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174046478 |
| Entity Type | Organization |
| Organization Name | YOUR ANGEL ON DUTY, LLC |
| Practice Address |
4747 E Elliot Rd #29-460 Phoenix AZ 85040 |
| Mailing Address |
4747 E Elliot Rd # 29-460 Phoenix AZ 85044-1627 |
| Practice Telephone | 4803521461 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | MICHELE SANFORD-BOOTH (OWNER) |
| Authorized Official Telephone | 4803521461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | AZ | Agencies | |
| Y | 251E00000X | Home Health | AZ | Agencies |
| Street Address |
4747 E ELLIOT RD #29-460 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780613752 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4747 E Elliot Rd, Phoenix, AZ 85044-1627 | 2006-07-02 |
| 1831654144 | Akos Live | Internal Medicine | 4747 E Elliot Rd, Phoenix, AZ 85044-1627 | 2019-01-31 |
| 1316486996 | East Valley Medical Partners, LLC | Family Medicine | 4747 E Elliot Rd, #32, Phoenix, AZ 85044-1627 | 2017-02-16 |
| 1144612276 | Buckler Chiropractic, Inc. | Chiropractor | 4747 E Elliot Rd, Suite 32, Phoenix, AZ 85044-1627 | 2015-02-26 |
| 1790127561 | Jeffrey L Pasteur | Pharmacist | 4747 E Elliot Rd, Phoenix, AZ 85044-1627 | 2013-07-22 |
| 1780024158 | Wilhelmina Gordon | Pharmacist | 4747 E Elliot Rd, Phoenix, AZ 85044-1627 | 2013-07-01 |
| 1568735264 | Mohamed Farouk Abouzahra | Pharmacist | 4747 E Elliot Rd, Phoenix, AZ 85044-1627 | 2012-02-13 |
| 1003103425 | Bum-jun Oh | Pharmacist | 4747 E Elliot Rd, Phoenix, AZ 85044-1627 | 2011-07-06 |
| 1144514811 | Kelly Green | Counselor | 4747 E Elliot Rd, #29-545, Phoenix, AZ 85044-1627 | 2011-05-30 |
| 1639479249 | Rudy Weigert | Pharmacist | 4747 E Elliot Rd, Phoenix, AZ 85044-1627 | 2010-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
| 1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162681 | Deshea Willis | Home Health | 21150 N Tatum Blvd Apt 3049, Phoenix, AZ 85050-7238 | 2020-10-20 |
| 1144828831 | Vital Homecare, Inc. | Home Health | 2375 E Camelback Rd Ste 632, Phoenix, AZ 85016-3424 | 2020-10-14 |
| 1124625645 | Bright Future Behavioral Homes LLC | Home Health | 4707 E Mcdowell Rd Apt 1197, Phoenix, AZ 85008-4534 | 2020-10-07 |
| 1982217642 | My Caregivers LLC | Home Health | 1020 E Beryl Ave, Phoenix, AZ 85020-1538 | 2020-08-24 |
| 1952927774 | Shaly Richie | Home Health | 3946 W El Camino Dr, Phoenix, AZ 85051-4626 | 2020-06-17 |
| 1700401957 | Imani Home Care Living LLC | Home Health | 8539 W Hazelwood St, Phoenix, AZ 85037-1534 | 2020-06-13 |
| 1821619396 | Home Pain Solutions | Home Health | 1137 W Betty Elyse Ln, Phoenix, AZ 85023-4461 | 2020-05-06 |
| 1376163824 | Redondo Health | Home Health | 822 W Earll Dr, Phoenix, AZ 85013-4022 | 2020-04-24 |
| 1427682897 | Resilient Homecare and Group Home | Home Health | 1505 E Sahuaro Dr Apt 4, Phoenix, AZ 85020-1456 | 2020-02-25 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| Find all providers in PHOENIX | ||||
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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.