KYRIAKOS MELAS (NPI# 1265763924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265763924 |
| Entity Type | Individual |
| Full Name | KYRIAKOS MELAS |
| Practice Address |
3894 N 294th Ln Buckeye AZ 85396-7123 |
| Practice Telephone | 6232555139 |
| Mailing Telephone | 6232555139 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
1566171 | AZ | Respite Care Facility |
| Street Address |
3894 N 294TH LN |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85396-7123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1659875698 | Arizona Dental Professionals, P.C. | Dentist | 4120 N 197th Ave, Buckeye, AZ 85396 | 2018-03-23 |
| 1407365083 | Ashley Nicole Brezovsky | Specialist/Technologist | 21188 W Granada Rd, Buckeye, AZ 85396 | 2017-09-26 |
| 1205219391 | Judy Jennings | Home Health Aide | 20470 W Delaney Dr, Buckeye, AZ 85396 | 2015-07-07 |
| 1407003650 | Brent H Bethers | Dentist | 20738 W Legend Trl, Buckeye, AZ 85396 | 2008-08-19 |
| 1437297256 | Patrick Nemechek | Internal Medicine | 4252 N. Verrado Way, Buckeye, AZ 85396 | 2007-02-02 |
| 1164748612 | Julie Beth Stavinoha | General Practice | 20955 W Hamilton St, Buckeye, AZ 85396-1518 | 2010-04-08 |
| 1629234828 | Debra Muckler | Physical Therapist | 2799 N Heritage St, Buckeye, AZ 85396-1520 | 2008-08-06 |
| 1619386596 | Professional Nutrition Consulting, Pllc | Clinic/Center | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-05 |
| 1811396997 | Elisa Anne Rodriguez | Nutritionist | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-14 |
| Find all providers in zip 85396 | ||||
| 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 |
|---|---|---|---|---|
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 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 |
| 1972052231 | Charlotte Crawford | Respite Care | 863 S 239th Ln, Buckeye, AZ 85326-8162 | 2016-09-28 |
| 1568756898 | Leigha Campbell | Respite Care | 25871 W St Catherine Ave, Buckeye, AZ 85326-2125 | 2011-06-03 |
| 1699969253 | Ayari Armenta | Respite Care | 5813 S 249th Dr, Buckeye, AZ 85326-1796 | 2007-08-28 |
| 1497811137 | Patricia Kay Roberts | Respite Care | 19727 W Narramore Rd, Buckeye, AZ 85326-4238 | 2006-12-28 |
| 1215165246 | Donna Wilson | Respite Care | 19727 W Narramore Rd, Buckeye, AZ 85326-4238 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 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 |
| 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 |
| 1215586128 | Sara Zermeno | Respite Care | 12734 E 44th Dr, Yuma, AZ 85367-4734 | 2019-09-04 |
| 1366097073 | Lisa Ann Harper | Respite Care | 6910 N Sanders Rd, Tucson, AZ 85743-8174 | 2019-08-08 |
| 1912552381 | Leslie E Alfieri | Respite Care | 2250 E Deer Valley Rd Unit 48, Phoenix, AZ 85024-5530 | 2019-08-02 |
| 1699329904 | Robin Allen | Respite Care | 9390 N Jessy Ln, Tucson, AZ 85742-9124 | 2019-07-25 |
| 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.