CENTRAL AZ SPECIAL SERVICES, INC (NPI# 1366779076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366779076 |
Entity Type | Organization |
Organization Name | CENTRAL AZ SPECIAL SERVICES, INC |
Practice Address |
2050 E University Dr Suite 3 Phoenix AZ 85034-6700 |
Practice Telephone | 6022539588 |
Practice Fax Number | 6022580207 |
Mailing Telephone | 6022539588 |
Mailing Fax Number | 6022580207 |
Enumeration Date | 2009-11-17 |
Last Update Date | 2009-11-17 |
Authorized Official Name | REBECCA COLLEEN JOHNSTON (CEO) |
Authorized Official Telephone | 6022539588 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | 042416 | AZ | Agencies |
N | 253Z00000X | In Home Supportive Care | 042416 | AZ | Agencies |
N | 385H00000X | Respite Care | 042416 | AZ | Respite Care Facility |
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
042416 | AZ | Respite Care Facility |
N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
042416 | AZ | Respite Care Facility |
Y | 251C00000X | Day Training, Developmentally Disabled Services | 042416 | AZ | Agencies |
Street Address |
2050 E UNIVERSITY DR SUITE 3 |
City | PHOENIX |
State | AZ |
Zip Code | 85034-6700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
Find all providers in zip 85034 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548878556 | The Opportunity Tree | Day Training, Developmentally Disabled Services | 3146 E Windsor Ave, Phoenix, AZ 85008-1135 | 2020-07-15 |
1598381725 | Acacia Care, LLC | Day Training, Developmentally Disabled Services | 8601 N Black Canyon Hwy Ste 200, Phoenix, AZ 85021-4156 | 2020-06-23 |
1649810946 | Hearts of Hope LLC | Day Training, Developmentally Disabled Services | 4352 E Angela Dr, Phoenix, AZ 85032-2289 | 2020-01-14 |
1619518263 | Ermias Homecare LLC | Day Training, Developmentally Disabled Services | 426 W Beautiful Ln, Phoenix, AZ 85041-8013 | 2019-10-04 |
1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
1487006698 | Heartbeat Speech Therapy L.L.C. | Day Training, Developmentally Disabled Services | 16454 S 29th St, Phoenix, AZ 85048-8559 | 2016-07-12 |
1154700433 | Quincea Inc | Day Training, Developmentally Disabled Services | 5025 S Central Ave, Phoenix, AZ 85040-2154 | 2015-05-20 |
1568856359 | Rescare Arizona, Inc. | Day Training, Developmentally Disabled Services | 960 W Behrend Dr Ste 3, Phoenix, AZ 85027-4406 | 2015-03-19 |
1568809721 | Advocates for The Mentally Ill and Disadvantage | Day Training, Developmentally Disabled Services | 8545 N Black Canyon Hwy, Phoenix, AZ 85021-4119 | 2013-05-29 |
1861730053 | S.e.e.k. Arizona | Day Training, Developmentally Disabled Services | 1848 N 52nd St, Phoenix, AZ 85008-3402 | 2013-01-22 |
Find all providers in PHOENIX |
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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.