CLARENCE & JEANNE KINSLEY, DBA (NPI# 1255703229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255703229 |
| Entity Type | Organization |
| Organization Name | CLARENCE & JEANNE KINSLEY, DBA |
| Practice Address |
17100 E. Lions Crossing Rd Dewey AZ 86327 |
| Mailing Address |
Po Box 102 Dewey AZ 86327-0102 |
| Practice Telephone | 9287728070 |
| Mailing Telephone | 9287728070 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | JEANNE MARIE KINSLEY (OWNER/CHILDRENS RESPITE PROVIDER) |
| Authorized Official Telephone | 9287728070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
BH4541 | AZ | Respite Care Facility |
| Street Address |
17100 E. LIONS CROSSING RD |
| City | DEWEY |
| State | AZ |
| Zip Code | 86327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791577 | Sarabeth Zurbano Roberto | Nurse Practitioner | 12075 Arizona 69, Dewey, AZ 86327 | 2018-08-23 |
| 1194224493 | Danielle Barbaro | Nurse Practitioner | 12075 Az - 69, Dewey, AZ 86327 | 2018-02-02 |
| 1437669504 | Caroline Bingham | Registered Nurse | 12075 Az State Route 69, Dewey, AZ 86327 | 2017-10-03 |
| 1245778323 | Copper Basin Healthcare, Inc. | Hospice Care, Community Based | 13207 E State Route 169 Ste A, Dewey, AZ 86327 | 2017-02-08 |
| 1346790748 | Holly Engelman | Nurse Practitioner | 150 Az-69 #1a, Dewey, AZ 86327 | 2016-10-10 |
| 1902262272 | Bradshaw Mountain Family Medicine LLC | Nurse Practitioner | 1163 E Old Chisholm Trail Suite C, Dewey, AZ 86327 | 2016-01-02 |
| 1003060534 | Sequelcare of Arizona, LLC | Community Based Residential Treatment Facility, Mental Illness | 14410 E. Blue Ridge Road, Dewey, AZ 86327 | 2008-11-11 |
| 1740431196 | Andrew Gregory Bowers | Speech-Language Pathologist | 422 N. La Paz St., Dewey, AZ 86327 | 2008-10-03 |
| 1114090925 | Mingus Mountain Estate Residential Center Inc | Assisted Living Facility | 100 Dewey Road, Farrington Home, Dewey, AZ 86327 | 2006-11-17 |
| 1548349327 | Cindy Kay Noble | Specialist | 830 S Dewey Rd, Dewey, AZ 86327 | 2006-11-03 |
| Find all providers in zip 86327 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
| 1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| 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.