STARKS HOMES LLC (NPI# 1518331057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518331057 |
| Entity Type | Organization |
| Organization Name | STARKS HOMES LLC |
| Practice Address |
2873 E Lucca Ln Vail AZ 85641-9712 |
| Practice Telephone | 5207629836 |
| Mailing Telephone | 5207629836 |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | COREY DUJUAN STARKS (PROGRAM ADMINISTRATOR) |
| Authorized Official Telephone | 5203046681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | BH4675 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538668983 | Starks Homes LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7325 E Fayette St, Tucson, AZ 85730-2324 | 2018-02-12 |
| Street Address |
2873 E LUCCA LN |
| City | VAIL |
| State | AZ |
| Zip Code | 85641-9712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457814063 | Dentists of Vail, LLP | Dentist | 13410 E. Mary Ann Cleveland Way, Vail, AZ 85641 | 2019-04-10 |
| 1023560885 | Danielle Marie Villatoro | Nurse Practitioner | 9731 S Camino De La Calinda, Vail, AZ 85641 | 2016-10-27 |
| 1407254394 | Carol Vallecalle | Contractor | 12119 E. Metz Dr, Vail, AZ 85641 | 2014-12-09 |
| 1700214103 | Sarah Watza | Speech-Language Pathologist | 13801 E. Benson Hwy, Vail, AZ 85641 | 2013-10-22 |
| 1982985818 | Vanica Caswell | Registered Nurse | 11581 S. Mary Jane Warner Dr., Vail, AZ 85641 | 2011-09-06 |
| 1518299585 | James Shea Connolly | Respiratory Therapist, Registered | 9406 S. Leon Ranch Road, Vail, AZ 85641 | 2010-02-02 |
| 1477792158 | Julie C Duvall | Psychologist | 13801 E. Benson Highway, Vail, AZ 85641 | 2009-02-19 |
| 1952581720 | Sarah G. Grether | Psychologist | Vail School District, 13801 E. Benson Hwy., Vail, AZ 85641 | 2007-11-09 |
| 1902027915 | Yvonne Barnett | Speech-Language Pathologist | 13801 East Benson Highway, Vail, AZ 85641 | 2007-05-01 |
| 1922171586 | Sue Ellen Anderson | Respite Care | 13588 E Yorkie Place, Vail, AZ 85641 | 2006-11-15 |
| Find all providers in zip 85641 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666039 | Rehoboth LLC | Residential Treatment Facility, Emotionally Disturbed Children | 46136 W Mountain View Rd # A, Maricopa, AZ 85139-6796 | 2020-10-16 |
| 1962022665 | New Hope of Arizona, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8710 W Watkins St, Tolleson, AZ 85353-9028 | 2020-04-22 |
| 1639798143 | Anthony Udoinwang | Residential Treatment Facility, Emotionally Disturbed Children | 10435 W Reade Ave, Glendale, AZ 85307-4237 | 2020-04-14 |
| 1033756358 | Native Music Coalition | Residential Treatment Facility, Emotionally Disturbed Children | 5150 S Crazy Cat Ln, Tucson, AZ 85735 | 2019-12-05 |
| 1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
| 1487118865 | Serenity Preferred LLC | Residential Treatment Facility, Emotionally Disturbed Children | 17829 W Columbine Dr, Surprise, AZ 85388-5628 | 2019-01-30 |
| 1407333958 | Copa's Caring Hands LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 42251 W Bravo Dr, Maricopa, AZ 85138-2295 | 2018-07-26 |
| 1538668983 | Starks Homes LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7325 E Fayette St, Tucson, AZ 85730-2324 | 2018-02-12 |
| 1881100147 | Anna Marie Barrios | Residential Treatment Facility, Emotionally Disturbed Children | 18811 N 7th Dr, Phoenix, AZ 85027-5508 | 2017-12-22 |
| 1033625926 | Youth Transition Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1190 S Boulder St Unit D, Gilbert, AZ 85296-3792 | 2017-12-14 |
| 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.