CENTRA MANAGEMENT SERVICES LLC (NPI# 1588279673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588279673 |
Entity Type | Organization |
Organization Name | CENTRA MANAGEMENT SERVICES LLC |
Practice Address |
4530 E Shea Blvd Ste 142 Phoenix AZ 85028-6067 |
Practice Telephone | 4803204733 |
Practice Fax Number | 8889207164 |
Mailing Telephone | 4803204733 |
Mailing Fax Number | 8889207164 |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-09-15 |
Authorized Official Name | MR. JEFFERY SMITH (OWNER) |
Authorized Official Telephone | 4803204733 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | HOSPICE | L21405248 | 01 |
Street Address |
4530 E SHEA BLVD STE 142 |
City | PHOENIX |
State | AZ |
Zip Code | 85028-6067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
Find all providers in zip 85028 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
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1407461643 | Kind Hearts Hospice, Inc. | Hospice Care, Community Based | 10210 N 32nd St Ste 215, Phoenix, AZ 85028-3848 | 2020-09-14 |
1104434141 | First Choice Hospice LLC | Hospice Care, Community Based | 1738 E Thomas Rd, Phoenix, AZ 85016-7604 | 2020-07-15 |
1538787122 | Nana Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 1620 N 48th St Ste 101, Phoenix, AZ 85008-7720 | 2020-07-09 |
1235751645 | Hummingbird Hospice LLC | Hospice Care, Community Based | 4500 N 32nd St Ste 201, Phoenix, AZ 85018-3396 | 2020-05-08 |
1154942217 | We Care Hospice Inc | Hospice Care, Community Based | 2415 E Camelback Rd # 700-796, Phoenix, AZ 85016-4288 | 2020-04-29 |
1881215945 | Valley Care Hospice Inc | Hospice Care, Community Based | 2415 E Camelback Rd Ste 700-795, Phoenix, AZ 85016-4288 | 2020-04-29 |
1821617960 | Elements of Elder Care | Hospice Care, Community Based | 2990 E Northern Ave Ste C103, Phoenix, AZ 85028-4839 | 2020-04-09 |
1770123622 | Elite Royalty Healthcare Hospice LLC | Hospice Care, Community Based | 519 E Eva St Ste D, Phoenix, AZ 85020-2518 | 2020-01-08 |
1114562907 | United Hospice & Palliative Care of Arizona LLC | Hospice Care, Community Based | 2630 E Mohawk Ln Ste 132, Phoenix, AZ 85050-4637 | 2019-11-15 |
Find all providers in PHOENIX |
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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.