MR. STANLEY JAMAR PRUITT


Address: 35510 N Belgian Blue Ct, Queen Creek, AZ 85243-5518
Phone: 6193708544

MR. STANLEY JAMAR PRUITT (NPI# 1396801957) 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) 1396801957
Entity Type Individual
Full Name MR. STANLEY JAMAR PRUITT
Practice Address 35510 N Belgian Blue Ct
Queen Creek
AZ 85243-5518
Practice Telephone 6193708544
Practice Fax Number 4806415768
Mailing Telephone 6193708544
Mailing Fax Number 4806415768
Enumeration Date 2006-12-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385HR2055X Respite Care
Specialization: Respite Care, Mental Illness, Child
Respite Care Facility

Office Location

Street Address 35510 N BELGIAN BLUE CT
City QUEEN CREEK
State AZ
Zip Code 85243-5518

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811250301 Skyline Dental Group and Orthodontics, LLP Dentist 1714 West Hunt Hwy, Suite 100, Queen Creek, AZ 85243 2012-06-19
1467672386 Copper Dental Management Dentist 2510 E Hunt Highway, #28, Queen Creek, AZ 85243 2007-04-26
1346387404 Joseph Timbre Optometrist 1725 W Hunt Highway, Queen Creek, AZ 85243 2007-01-30
1801942636 Diane R Kuhlmann Licensed Practical Nurse 1084 W San Tan Hills, Queen Creek, AZ 85243 2007-01-26
1285798678 Annette Winsor Technician 184 E Piccolo Ct, Queen Creek, AZ 85243 2006-12-20
1972675031 Patricia Ellen Keaton Technician 31317 N Blackfoot Dr, Queen Creek, AZ 85243 2006-11-14
1134366065 Abby Mcneil Occupational Therapist 31437 N Desert Star Dr, Queen Creek, AZ 85243-3046 2009-01-14
1265694012 Walter M Dise Non-emergency Medical Transport (VAN) 34095 N Slate Creek Dr, Queen Creek, AZ 85243-3420 2008-07-01
1700070489 John David Mather Clinical Neuropsychologist 1084 San Tan Hills Dr, Queen Creek, AZ 85243-3489 2007-09-05
1629233507 Sellner Home Care LLC Hospice Care, Community Based 775 W Desert Canyon Dr, Queen Creek, AZ 85243-3515 2008-07-21
Find all providers in zip 85243

Taxonomy Information

Taxonomy Code 385HR2055X
Grouping Respite Care Facility
Classification Respite Care
Specialization Respite Care, Mental Illness, Child

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972163293 Harold Kilgore Respite Care 3734 E Longhorn St, Queen Creek, AZ 85140-4303 2019-06-18
1932567229 Adriana Ratzlaff Respite Care 20820 E Pickett St, Queen Creek, AZ 85142-9533 2016-02-02
1073748463 Noel I Vandyke Respite Care 3542 E Amarillo Way, Queen Creek, AZ 85240-4320 2009-05-28
1700038262 Lonnie L Bellamy Respite Care 18611 E Swan Dr, Queen Creek, AZ 85242-5148 2008-10-15
1548326085 Todd Kemmerer Respite Care 861 E Chelsea Dr, Queen Creek, AZ 85242-5658 2006-12-29
1407912298 Jeffrey J. Hamilton Respite Care 2712 W Gold Dust Ave, Queen Creek, AZ 85242-6725 2006-12-28
1639243512 Gregory Tarazon Respite Care 2019 W Vineyard Plains Dr, Queen Creek, AZ 85242-6378 2006-11-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114539004 Yvette I Haughton Respite Care 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 2020-08-20
1700411576 Jaquelina Andrea Reyes Respite Care 25279 W Centre Ave, Buckeye, AZ 85326-2468 2020-03-11
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
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
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
Find all providers with the same taxonomy

Competitor

Search similar providers

City QUEEN CREEK
Zip Code 85243

Improve Information

Please comment or provide details below to improve the information on MR. STANLEY JAMAR PRUITT.

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.

Trending Searches