KIMBERLEE HESLOP SULLINS (NPI# 1265723860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265723860 |
| Entity Type | Individual |
| Full Name | KIMBERLEE HESLOP SULLINS |
| Practice Address |
660 S 30th Ave Show Low AZ 85901-5445 |
| Practice Telephone | 9285325892 |
| Mailing Telephone | 9285325892 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | CNA999952503 | AZ | Nursing Service Related Providers |
| Street Address |
660 S 30TH AVE |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-5445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114218724 | Evone Marie Kent | Adult Companion | 621 S 30th Ave, Show Low, AZ 85901-5446 | 2011-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262465 | Charles Ogu | Adult Companion | 6638 S 6th Ave, Phoenix, AZ 85041-5764 | 2020-07-16 |
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1467073684 | Jasmin Zapatero | Adult Companion | 3816 S 74th Dr, Phoenix, AZ 85043-7589 | 2020-04-28 |
| 1932729944 | Tamitha Green | Adult Companion | 3202 W Bell Rd, Phoenix, AZ 85053-7507 | 2020-04-20 |
| 1942851217 | James Loeber | Adult Companion | 2890 Edgewood Dr, Lake Havasu City, AZ 86406-7777 | 2019-09-26 |
| 1265904775 | Denise Turner'coleman | Adult Companion | 7409 S 39th Dr, Phoenix, AZ 85041-6002 | 2018-12-21 |
| 1376013326 | Jimmy Lee Ellis | Adult Companion | 105 N Links Dr Apt 1061, Avondale, AZ 85323-3046 | 2018-12-03 |
| 1912484890 | Trillium Home Care, LLC | Adult Companion | 2345 E Thomas Rd Ste 201, Phoenix, AZ 85016-7818 | 2018-07-24 |
| 1679069025 | Matthew Odishoo | Adult Companion | 2114 S 118th Ave, Avondale, AZ 85323-7643 | 2018-07-09 |
| 1760916647 | Amazing Comfort Home LLC | Adult Companion | 1670 E Carla Vista Dr, Chandler, AZ 85225-5268 | 2017-04-17 |
| 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.