GOOD CARE NETWORK LLC (NPI# 1508493016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508493016 |
| Entity Type | Organization |
| Organization Name | GOOD CARE NETWORK LLC |
| Practice Address |
4775 E Kristen Dr Prescott AZ 86301-5803 |
| Practice Telephone | 3134342723 |
| Mailing Telephone | 3134342723 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | DOMINIQUE GIDDINGS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3134342723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370952 | Good Care Network LLC | Community Based Residential Treatment Facility, Mental Illness | 2215 Ventura Dr, Bullhead City, AZ 86442-5824 | 2018-09-24 |
| 1730684754 | Good Care Network LLC | Assisted Living Facility | 13250 W Port Royale Ln, Surprise, AZ 85379-6520 | 2018-03-30 |
| 1538533617 | Good Care Network LLC | Community Based Residential Treatment Facility, Mental Illness | 6313 W Florence Ave, Phoenix, AZ 85043-7778 | 2015-11-30 |
| 1710333760 | Good Care Network LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15672 W Devonshire Ave, Goodyear, AZ 85395-7773 | 2016-05-09 |
| Street Address |
4775 E KRISTEN DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120703 | Charite Home | Assisted Living Facility | 6057 S Avenida Caneca, Tucson, AZ 85706-5073 | 2020-10-06 |
| 1245847664 | Young Life Al Inc. | Assisted Living Facility | 2334 W Rancho Dr, Phoenix, AZ 85015-2211 | 2020-09-29 |
| 1184231953 | Frontier Home Health Care Sober Living of Arizona, Corp | Assisted Living Facility | 8604 N 43rd Dr, Glendale, AZ 85302-5317 | 2020-09-25 |
| 1679180517 | Trinity's House | Assisted Living Facility | 6692 E Via Boca Chica, Tucson, AZ 85756-8309 | 2020-09-24 |
| 1811526148 | Phoenix Comfort Homes LLC | Assisted Living Facility | 17643 N 17th St, Phoenix, AZ 85022-2113 | 2020-04-07 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1669002168 | Better Horizons Behavioral Health LLC | Assisted Living Facility | 1136 W Fever Tree Ave, San Tan Valley, AZ 85140-7682 | 2020-01-23 |
| 1225697386 | Alpine Villa LLC | Assisted Living Facility | 2144 W Luke Ave, Phoenix, AZ 85015-2319 | 2019-06-11 |
| 1225510118 | Adagio Luxury 4 LLC | Assisted Living Facility | 1045 E Bethany Home Rd, Phoenix, AZ 85014-2229 | 2018-09-06 |
| 1033664081 | Peggy Nyalita | Assisted Living Facility | 3532 W Boston St, Chandler, AZ 85226-3813 | 2016-08-19 |
| Find all providers with the same taxonomy | ||||
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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.