DESMALE SOCIAL SERVICES (NPI# 1245531623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245531623 |
| Entity Type | Organization |
| Organization Name | DESMALE SOCIAL SERVICES |
| Practice Address |
12818 W Soledad St El Mirage AZ 85335-8229 |
| Practice Telephone | 6234442731 |
| Practice Fax Number | 6234444099 |
| Mailing Telephone | 6234442731 |
| Mailing Fax Number | 6234444099 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | MR. SAMUEL OGHENJABOR (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6234442731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 393765 | 05 |
| Street Address |
12818 W SOLEDAD ST |
| City | EL MIRAGE |
| State | AZ |
| Zip Code | 85335-8229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780082826 | Jessica Jones | Social Worker | 15100 N B Circle, El Mirage, AZ 85335 | 2014-12-05 |
| 1700280740 | Honey Queen Magbago | Physical Therapy Assistant | 12501 W Ash St, El Mirage, AZ 85335 | 2014-10-20 |
| 1396158994 | Richard Glisson | Pharmacist | 2840 North Dysart Road, Goodyear, AZ 85335 | 2014-06-11 |
| 1508106642 | Care 4 U Group Homes, LLC #2 | Assisted Living Facility | 12706 W Boca Raton, El Mirage, AZ 85335 | 2013-02-27 |
| 1780859066 | Kalmed LLC | Non-emergency Medical Transport (VAN) | 12501 W. Sunnyside Dr., Same As Above, El Mirage, AZ 85335 | 2008-04-28 |
| 1184763823 | Jennifer Colleen Whitaker | Occupational Therapist | 11800 West Thompson Ranch, El Mirage, AZ 85335 | 2007-02-06 |
| 1447275292 | Christine C Briones | Obstetrics & Gynecology | 15235 N Dysart Rd, El Mirage, AZ 85335 | 2006-07-13 |
| 1134181332 | Little Smiles of Surprise | Dentist | 13915 N Dysart Rd, Ste A1, El Mirage, AZ 85335 | 2006-04-04 |
| 1215918107 | Salibus United Drug Pharmacy | Pharmacy | 11713 W Thunderbird Rd, El Mirage, AZ 85335 | 2005-11-08 |
| 1154886547 | Sarah Buggle | Nurse Practitioner | 12428 W Thunderbird Rd, El Mirage, AZ 85335 | 2019-02-10 |
| Find all providers in zip 85335 | ||||
| Taxonomy Code | 385HR2065X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Physical Disabilities, Child |
| A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386993004 | Valley Care & Enrichment Services, Inc | Respite Care | 2117 South 48th Street # 103, Tempe, AZ 85282 | 2012-09-10 |
| 1275837213 | Dysart Unified School District | Respite Care | 17999 W Surprise Farms Loop S, Surprise, AZ 85388-6641 | 2011-01-05 |
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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.