AZ INTERACT LLC (NPI# 1427502947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427502947 |
| Entity Type | Organization |
| Organization Name | AZ INTERACT LLC |
| Practice Address |
6055 West Caribe Lane Glendale AZ 85306 |
| Mailing Address |
2325 W Desperado Way Phoenix AZ 85085-5777 |
| Practice Telephone | 6024878806 |
| Mailing Telephone | 6024878806 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | EDUARDO SANTANA (SUPERVISOR) |
| Authorized Official Telephone | 6024878806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | BH4802 | AZ | Residential Treatment Facilities |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | BH4801 | AZ | Residential Treatment Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | BH4514 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 1760885347 | 05 | |
| AZ | 1154781037 | 05 | |
| AZ | 1518327493 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947364 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4656 W Juniper Ave, Glendale, AZ 85306-1500 | 2018-09-27 |
| 1518327493 | Az Interact LLC | Community Based Residential Treatment Facility, Mental Illness | 5516 W Calavar Rd, Glendale, AZ 85306-4604 | 2016-03-04 |
| 1760885347 | Az Interact LLC | Community Based Residential Treatment Facility, Mental Illness | 2325 W Desperado Way, Phoenix, AZ 85085-5777 | 2014-09-26 |
| Street Address |
6055 WEST CARIBE LANE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| 1689843963 | Pain-mds Ambulatory Surgical Center, LLC | Clinic/Center | 16390 N. 59th Ave, Suite 100, Glendale, AZ 85306 | 2008-02-21 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598302028 | Hearn House 2 LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8793 W Maryland Ave, Glendale, AZ 85305-2469 | 2019-12-03 |
| 1568947364 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4656 W Juniper Ave, Glendale, AZ 85306-1500 | 2018-09-27 |
| 1124579578 | Sonoran Sky Community Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4226 W Marco Polo Rd, Glendale, AZ 85308-2285 | 2016-10-20 |
| 1942668090 | Hearn House LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5520 N 71st Ave, Glendale, AZ 85303-5324 | 2016-02-03 |
| 1477895506 | Orion Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4635 W Aster Dr, Glendale, AZ 85304-2126 | 2013-03-27 |
| 1134461668 | Orion Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5806 W Townley Ave, Glendale, AZ 85302-4610 | 2013-03-22 |
| 1831431352 | Orion Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4509 W Columbine Dr, Glendale, AZ 85304-2325 | 2013-03-22 |
| 1124360656 | Orion Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7301 W Union Hills Dr, Glendale, AZ 85308-8150 | 2013-03-22 |
| 1316237076 | A Fresh Start and New Beginnings | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4105 W Villa Linda Dr, Glendale, AZ 85310-5157 | 2011-04-15 |
| 1093915993 | Doris Scrozzo | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 70-38 67th Street, Glendale, NY 11385 | 2007-07-19 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on AZ INTERACT LLC.
| 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.