CAMELIA IGNA


Address: 6127 W Westwind Dr, Glendale, AZ 85310
Phone: 6238790168

CAMELIA IGNA (NPI# 1346364866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346364866
Entity Type Individual
Full Name CAMELIA IGNA
Practice Address 6127 W Westwind Dr
Glendale
AZ 85310
Practice Telephone 6238790168
Practice Fax Number 6238790168
Mailing Telephone 6238790168
Mailing Fax Number 6238790168
Enumeration Date 2007-03-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
BH2440 AZ Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS 869828 01

Office Location

Street Address 6127 W WESTWIND DR
City GLENDALE
State AZ
Zip Code 85310

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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

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1720130404 Cindy Hicks Assisted Living Facility 4602 W Monte Cristo Ave, Glendale, AZ 85306-2724 2007-01-16
1841565256 Apollo Health Care, Inc. Assisted Living Facility 8322 W Oregon Ave, Glendale, AZ 85305-3302 2012-03-19

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Competitor

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City GLENDALE
Zip Code 85310

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Dataset Information

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.

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