MAX CARE CENTER LLC (NPI# 1437768892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437768892 |
Entity Type | Organization |
Organization Name | MAX CARE CENTER LLC |
Practice Address |
2239 W Hasan Dr Phoenix AZ 85041-5312 |
Practice Telephone | 6192487143 |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-10-21 |
Authorized Official Name | MELINA WILLIAMS (OWNER) |
Authorized Official Telephone | 6192487143 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
2239 W HASAN DR |
City | PHOENIX |
State | AZ |
Zip Code | 85041-5312 |
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1447780135 | Mesa Dental Arizona LLC | Dentist | 3320 W Southern Ave #111, Phoenix, AZ 85041 | 2017-06-14 |
1932564697 | Job Elliott | Counselor | 4105 W Saint Charles Ave, Phoenix, AZ 85041 | 2015-12-23 |
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Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
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1902131865 | Master Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28809 N 25th Gln, Phoenix, AZ 85085-3737 | 2009-10-11 |
1811167067 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2208 W Keim Dr, Phoenix, AZ 85015-1943 | 2008-03-04 |
1407026644 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5344 N 40th Ln, Phoenix, AZ 85019-2213 | 2008-03-04 |
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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.