CIRCLE OF LIFE ALZHEIMER'S HOMES (NPI# 1578050746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578050746 |
| Entity Type | Organization |
| Organization Name | CIRCLE OF LIFE ALZHEIMER'S HOMES |
| Practice Address |
778 Crown Ridge Rd Sedona AZ 86351-6304 |
| Practice Telephone | 9288622287 |
| Practice Fax Number | 9288622418 |
| Mailing Telephone | 9288622287 |
| Mailing Fax Number | 9288622418 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-11-12 |
| Authorized Official Name | MRS. SUSAN ELAINE WIELECHOWSKI (OWNER) |
| Authorized Official Telephone | 9282374795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
AL9678H | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 410538 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9240 N American Ranch Rd, Prescott, AZ 863059058 | 9284453471 | 9284451364 |
| 4340 W Fort Bridger Rd, Prescott, AZ 863059038 | 9284450532 | 9287765957 |
| 5725 W Durene Cir, Prescott, AZ 863057929 | 9282374795 | 9282778149 |
| 5620 W Corliss Cir, Prescott, AZ 863057955 | 9282374795 | 9282778149 |
| Street Address |
778 CROWN RIDGE RD |
| City | SEDONA |
| State | AZ |
| Zip Code | 86351-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144645391 | Southwestern Eye Center Ltd | Optometrist | 100 Verde Valley Road, Ste 114, Sedona, AZ 86351 | 2014-02-25 |
| 1033303185 | Julie A Leader | Nurse Practitioner | 275 Verde Valley School Rd, Sedona, AZ 86351 | 2007-08-31 |
| 1659593580 | Robert R Easton | Counselor | 6560 Rt. 179, Suite 204, Sedona, AZ 86351 | 2007-05-02 |
| 1851445746 | William Howard Johnson | Psychologist | 380 Oak Creek Drive, Sedona, AZ 86351 | 2007-01-22 |
| 1689746653 | Cynthia A Dodge | Psychologist | Ste 204, 6560 Rte 179, Sedona, AZ 86351 | 2006-11-15 |
| 1316020480 | Natalie H Rockwell | Nurse Practitioner | 6446 State Route 179, Suite 207b, Sedona, AZ 86351 | 2006-10-23 |
| 1457381295 | Rta Hospice, LLC | Hospice, Inpatient | 70 Bell Rock Plaza, Sedona, AZ 86351 | 2006-07-04 |
| 1255304754 | Carolyn J Martin | Optometrist | 100 Verde Valley School Road, Suite 114, Sedona, AZ 86351 | 2006-02-07 |
| 1285997452 | Susan Kay Ramirez | Occupational Therapist | 505 Jacks Canyon Rd, Sedona, AZ 86351 | 2012-06-21 |
| 1114033107 | Sedona Grocery, LLC | Pharmacy | 100 Verde Valley School Rd, Sedona, AZ 86351 | 2006-08-22 |
| Find all providers in zip 86351 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511999 | Fanaka Enterprises LLC | Assisted Living Facility | 3925 E 1st St, Tucson, AZ 85711-1001 | 2020-09-07 |
| 1114536752 | The Heritage Behavioral Health Home LLC | Assisted Living Facility | 3927 W Rovey Ave, Phoenix, AZ 85019-1633 | 2020-07-29 |
| 1801420476 | Holy Trinity Behavioral,llc | Assisted Living Facility | 1630 W Nancy Ln, Phoenix, AZ 85041-5540 | 2020-02-23 |
| 1184258758 | Holy Trinity Behavioral,llc | Assisted Living Facility | 5308 W Vernon Ave, Phoenix, AZ 85035-1953 | 2020-02-23 |
| 1487287108 | Christine M Kemboi | Assisted Living Facility | 8435 W Hughes Dr, Tolleson, AZ 85353-3902 | 2020-02-20 |
| 1154967826 | Home of Empathy LLC | Assisted Living Facility | 8102 E 6th St, Tucson, AZ 85710-2416 | 2019-11-18 |
| 1083261945 | D&g Behavioral Health LLC | Assisted Living Facility | 3119 N 46th Dr, Phoenix, AZ 85031-3705 | 2019-08-24 |
| 1881249902 | A Tender Hand Assisted Living Home, LLC, Dba | Assisted Living Facility | 6216 S 36th St, Phoenix, AZ 85042-4904 | 2019-08-06 |
| 1265098339 | Affinity of Hope Care Home | Assisted Living Facility | 7518 S 15th Dr, Phoenix, AZ 85041-6935 | 2019-05-14 |
| 1912561176 | Hope Behavioral Health Residential Care | Assisted Living Facility | 17547 W Desert Bloom St, Goodyear, AZ 85338-4713 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CIRCLE OF LIFE ALZHEIMER'S HOMES.
| 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.