FISHER FAMILY HOME LLC


Address: 2927 W Redfield Rd, Phoenix, AZ 85053-7712
Phone: 6025481410

FISHER FAMILY HOME LLC (NPI# 1609474030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609474030
Entity Type Organization
Organization Name FISHER FAMILY HOME LLC
Practice Address 2927 W Redfield Rd
Phoenix
AZ 85053-7712
Practice Telephone 6025481410
Practice Fax Number 6029426530
Mailing Telephone 6025481410
Mailing Fax Number 6029426530
Enumeration Date 2020-10-16
Last Update Date 2020-10-16
Authorized Official Name MR. JASON COLEMAN (OWNER)
Authorized Official Telephone 4802823043
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ A14420508 05

Other Provider/Organization Names

Other Name Type Code
Fisher Family Home Doing Business As Name - Organization

Office Location

Street Address 2927 W REDFIELD RD
City PHOENIX
State AZ
Zip Code 85053-7712

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1366966434 Penny L Reamer Registered Nurse 17624 N. 31st Ave., Phoenix, AZ 85053 2017-08-01
1043749302 Jacob Stephen Lawrence Occupational Therapy Assistant 3116 W. Hartford Dr., Phoenix, AZ 85053 2017-06-08
1770022923 Horizon Dental Group West Valley Dentist 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 2017-02-21
1235594938 Linda Thi Trinh Optometrist 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 2015-12-22
1003230301 Continuum Group West, LLC. Clinic/Center 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 2014-02-07
1831539410 Michelle Lea Byers Nurse Practitioner 17624 North 31st Ave, Phoenix, AZ 85053 2013-06-27
1437446580 Candace Faith Gershkovich Dentist 4235 W. Thunderbird Rd, Phoenix, AZ 85053 2011-07-08
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942800966 Yibu Liu Assisted Living Facility 3569 E Utopia Rd, Phoenix, AZ 85050-3967 2020-10-28
1235736687 Ana's Assisted Living Home, LLC Assisted Living Facility 13238 N 35th St, Phoenix, AZ 85032-6110 2020-10-07
1881201598 Latins Home LLC Assisted Living Facility 10601 S 42nd St, Phoenix, AZ 85044-1301 2020-09-26
1659987998 Mehry Lyn Moses Assisted Living Facility 1816 E Whitton Ave, Phoenix, AZ 85016-6416 2020-09-22
1417562406 Briceida Rocha Assisted Living Facility 1345 W Atlanta Ave, Phoenix, AZ 85041-3929 2020-09-15
1073127213 Marlyn Ll Joaquin Assisted Living Facility 1349 W Rosemonte Dr, Phoenix, AZ 85027-5444 2020-09-04
1720602832 Casa De Vida Living LLC Assisted Living Facility 7036 W Parkway Dr, Phoenix, AZ 85043-6921 2020-06-04
1689295297 Raj International LLC Assisted Living Facility 4312 E Redwood Ln, Phoenix, AZ 85048-7028 2020-05-05
1285261891 Sterling Residences, LLC Assisted Living Facility 2301 E Lone Cactus Dr, Phoenix, AZ 85024-5507 2020-03-24
1114552890 Kori Zarinegar Assisted Living Facility 42132 N Mountain Cove Dr, Phoenix, AZ 85086-1988 2020-03-03
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Competitor

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City PHOENIX
Zip Code 85053

Improve Information

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Dataset Information

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.

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