MERCEDES EVELYN HAILE (NPI# 1225645443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225645443 |
Entity Type | Individual |
Full Name | MERCEDES EVELYN HAILE |
Practice Address |
1989 Mesquite Ave Unit 1 Lake Havasu City AZ 86403-5730 |
Practice Telephone | 9282086100 |
Mailing Telephone | 9282086100 |
Enumeration Date | 2020-09-30 |
Last Update Date | 2020-09-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
AZ | Nursing Service Related Providers |
Street Address |
1989 MESQUITE AVE UNIT 1 |
City | LAKE HAVASU CITY |
State | AZ |
Zip Code | 86403-5730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912504358 | Sunflowers Home Health Care | In Home Supportive Care | 1989 Mesquite Ave Unit 1, Lake Havasu City, AZ 86403 | 2020-10-08 |
1144827171 | Sunflowers Home Health Care | In Home Supportive Care | 1989 Mesquite Ave Unit 1, Lake Havasu City, AZ 86403 | 2020-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
Find all providers in zip 86403 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548723372 | Sonia Monique Aguilar | Technician | 3140 Kearsage Dr # F230, Lake Havasu City, AZ 86406-9086 | 2019-04-09 |
1033463492 | Michele Marie Armstrong | Technician | 400 Sedona Dr, Lake Havasu City, AZ 86403-4775 | 2012-11-06 |
1851671846 | Debbie A Gilsdorf | Technician | 3323 Candlewood Pl, Lake Havasu City, AZ 86406-9069 | 2011-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255942702 | A2z Caregivers, LLC | Technician | 4365 E Pecos Rd Ste 119, Gilbert, AZ 85295-8052 | 2020-08-10 |
1528608601 | Kathy Armstrong | Technician | 120 W Dobbins Rd Apt 109120w, Phoenix, AZ 85041-8536 | 2020-01-07 |
1447710652 | Sierrabehavioralhealth.llc | Technician | 18427 N 33rd Ave, Phoenix, AZ 85053-1050 | 2019-03-22 |
1891277406 | Elsa Delcid | Technician | 14192 N Calico Dr, Dolan Springs, AZ 86441-9543 | 2018-08-30 |
1972089639 | Maria Moreno-branch | Technician | 16202 W Williams St, Goodyear, AZ 85338-3491 | 2018-07-16 |
1619465887 | Jacqueline Kate Jamison | Technician | 3148 E 2nd St Unit 2, Tucson, AZ 85716-4240 | 2018-04-24 |
1285121624 | Tamara Twellman | Technician | 562 N Chippewa Dr, Chandler, AZ 85224-4328 | 2018-04-20 |
1427555689 | Andrew Lopez | Technician | 6730 N 17th Ave Apt 201, Phoenix, AZ 85015-1394 | 2018-04-12 |
1912414350 | Dolores Taylor | Technician | 568 S 167th Dr, Goodyear, AZ 85338-4566 | 2018-01-08 |
1760906366 | Laterra Garrett | Technician | 44139 W Mescal St, Maricopa, AZ 85138-4044 | 2017-07-26 |
Find all providers with the same taxonomy |
City | LAKE HAVASU CITY |
Zip Code | 86403 |
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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.