LIFESPAN HEALTHCARE (NPI# 1336527845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336527845 |
| Entity Type | Organization |
| Organization Name | LIFESPAN HEALTHCARE |
| Practice Address |
690 E Warner Rd 112 Gilbert AZ 85296-3054 |
| Mailing Address |
690 E Warner Rd Suite 112 Gilbert AZ 85296-3054 |
| Practice Telephone | 4806333540 |
| Practice Fax Number | 4806335605 |
| Mailing Telephone | 4806333540 |
| Mailing Fax Number | 4806335605 |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | MRS. ANARESIA MARIE RICHARD (PRIMARY CARE PROVIDER / OWNER) |
| Authorized Official Telephone | 4806333540 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP1692 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 766777 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFESPAN HEALTHCARE RESOURCE LIMITED | 13 Umuaniabor Street Gariki Enugu, Enugu, , NGA |
| Street Address |
690 E WARNER RD 112 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689737421 | Jacqulyn Breckow | Speech-Language Pathologist | 690 E Warner Rd, Suite #105, Gilbert, AZ 85296-3054 | 2006-12-19 |
| 1497386809 | Rima N Mehta | Occupational Therapy Assistant | 690 E Warner Rd, Gilbert, AZ 85296-3054 | 2020-02-04 |
| 1245791037 | Sarah Smidstra | Counselor | 690 E Warner Rd, Gilbert, AZ 85296-3054 | 2019-03-26 |
| 1346786753 | Allison Dukat | Counselor | 690 E Warner Rd, Suite 115, Gilbert, AZ 85296-3054 | 2017-01-09 |
| 1003209479 | Gateway Marriage and Family Therapy, LLC | Marriage & Family Therapist | 690 E Warner Rd, Bldg 10, Ste# 152, Gilbert, AZ 85296-3054 | 2015-03-10 |
| 1982028536 | Josh Adams | Counselor | 690 E Warner Rd, Suite 115, Gilbert, AZ 85296-3054 | 2014-02-18 |
| 1689939043 | Dorianne Lee Schubring | Physical Therapist | 690 E Warner Rd, Gilbert, AZ 85296-3054 | 2012-07-11 |
| 1245521053 | Total Life Counseling Pllc | Counselor | 690 E Warner Rd, Suite 115, Gilbert, AZ 85296-3054 | 2011-04-27 |
| 1356655070 | Debra Harris | Specialist/Technologist | 690 E Warner Rd, Suite14, Gilbert, AZ 85296-3054 | 2010-08-05 |
| 1679752984 | Allison Michele Jones | Speech-Language Pathologist | 690 E Warner Rd, 105, Gilbert, AZ 85296-3054 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471970 | Pulse Healthcare Solution Pllc | Clinic/Center | 1991 E Lindrick Dr, Gilbert, AZ 85298-7406 | 2020-09-12 |
| 1730737560 | Arizona Family Primary Care | Clinic/Center | 1333 S Banning St, Gilbert, AZ 85296-8676 | 2019-08-26 |
| 1710330931 | Accessimed Healthcare Services | Clinic/Center | 2204 E Everglade Ln, Gilbert, AZ 85298-9750 | 2016-07-22 |
| 1528379336 | Health First Family Medicine LLC | Clinic/Center | 888 S Greenfield Rd #102, Gilbert, AZ 85296-4010 | 2010-06-25 |
| 1013151489 | Elite Sports Therapy Inc | Clinic/Center | 1184 N Gilbert Rd Ste 100, Gilbert, AZ 85234-2476 | 2009-04-28 |
| 1508023813 | Complete Care Medicine Inc | Clinic/Center | 1489 S Higley Rd Suite 101, Gilbert, AZ 85296 | 2008-05-22 |
| 1780298018 | Lamb Home Medical Care LLC | Clinic/Center | 3336 E Chandler Heights Rd Ste 113, Gilbert, AZ 85298-4263 | 2020-09-03 |
| 1497379069 | Citizens Integrated Medical Services LLC | Clinic/Center | 1530 E Williams Field Rd Ste 201, Gilbert, AZ 85295-1825 | 2020-05-29 |
| 1720612286 | Sapphire Health and Wellness LLC | Clinic/Center | 3530 S Val Vista Dr Ste A111, Gilbert, AZ 85297-7319 | 2020-02-24 |
| 1740758515 | Ghentmd | Clinic/Center | 1434 W Elliot Rd Ste 101, Gilbert, AZ 85233-5157 | 2018-11-09 |
| Find all providers in GILBERT | ||||
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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.