RANDY DANIEL FLORES (NPI# 1497821920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497821920 |
| Entity Type | Individual |
| Full Name | RANDY DANIEL FLORES |
| Practice Address |
188 W Ivey Rd Huachuca City AZ 85616-8227 |
| Practice Telephone | 5204561416 |
| Mailing Telephone | 5204561416 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 114178 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388512 | Randy Amir Flores | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-08-29 |
| 1023258969 | Randy Flores | Anesthesiology | 2450 W Charleston Blvd, Las Vegas, NV 89102-2179 | 2009-03-05 |
| Street Address |
188 W IVEY RD |
| City | HUACHUCA CITY |
| State | AZ |
| Zip Code | 85616-8227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083825970 | Barbara Jean Helmstetter | Counselor | 2265 N. Blueflax Place, Huachuca City, AZ 85616 | 2007-05-24 |
| 1871719062 | Heart Felt Help, Inc. | Preferred Provider Organization | 808 Ridgeview Pl., Huachuca City, AZ 85616 | 2007-04-17 |
| 1942332952 | Dawn Birtwell | Speech-Language Pathologist | 165 E Via Mercado, Huachuca City, AZ 85616 | 2007-03-12 |
| 1184724833 | Tara K Chavez | Registered Nurse | 100 School Dr, Huachuca City School, Huachuca City, AZ 85616 | 2006-09-23 |
| 1912089913 | Cassondra Elizabeth Davis | Counselor | 100 School Dr, Huachuca City, AZ 85616 | 2006-10-19 |
| 1316298417 | Jane Louise Lorenz | Social Worker | 2484 N Calle Noveno, Huachuca City, AZ 85616-0536 | 2012-09-28 |
| 1811100720 | Open Inn, Inc | Community/Behavioral Health | 721 North Gonzales Boulevard, Huachuca City, AZ 85616-4338 | 2007-05-07 |
| 1902365430 | Therapeuo Health | Nurse Practitioner | 2487 N Calle Seis, Huachuca City, AZ 85616-8106 | 2019-03-14 |
| 1952363590 | Richard Wallace Harig | Psychologist | 1855 E Charlies Trl, Raymond W Bliss Army Health Center, Huachuca City, AZ 85616-8173 | 2006-04-06 |
| 1851562680 | Elizabeth L Vath | Registered Nurse | 501 E Oak St, Huachuca City, AZ 85616-8188 | 2008-03-19 |
| Find all providers in zip 85616 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| 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] |
| 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 | ||||
| City | HUACHUCA CITY |
| Zip Code | 85616 |
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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.