VERDANT SENIORS PLACE LLC (NPI# 1639524598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639524598 |
Entity Type | Organization |
Organization Name | VERDANT SENIORS PLACE LLC |
Practice Address |
8207 W Nicolet Ave Glendale AZ 85303-1822 |
Practice Telephone | 6028186700 |
Practice Fax Number | 6027152257 |
Mailing Telephone | 6028186700 |
Mailing Fax Number | 6027152257 |
Enumeration Date | 2016-04-28 |
Last Update Date | 2016-04-28 |
Authorized Official Name | MRS. MA TERESITA PATINO ISIDERIO (PRESIDENT/OWNER) |
Authorized Official Telephone | 6028186700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AL9850H | AZ | Nursing & Custodial Care Facilities |
Street Address |
8207 W NICOLET AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85303-1822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932722402 | Desert Wildflower Assisted Living LLC | Assisted Living Facility | 8207 W Nicolet Ave, Glendale, AZ 85303-1822 | 2020-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962050138 | Karina Navarrete | Specialist/Technologist | 7418 W. Fleetwood Ln, Glendale, AZ 85303 | 2019-08-29 |
1043733280 | Ainsley P. Vergara | Speech-Language Pathologist | 7355 W Orangewood Ave, Glendale, AZ 85303 | 2017-07-19 |
1043688492 | Karina Sosa | Specialist/Technologist | 7829 W San Miguel Avenue, Glendale, AZ 85303 | 2015-09-02 |
1437546462 | Westwind Dental Glendale, Pllc | Dentist | 6740 W Camelback Road, Glendale, AZ 85303 | 2015-04-16 |
1336498906 | Revival Home Care | Assisted Living Facility | 8269 W State Ave, Glendale, AZ 85303 | 2012-08-29 |
1700153707 | Habiitation and Independant Living Inc | Nursing Care | 7304 N 82nd Ave, Glendale, AZ 85303 | 2011-11-19 |
1225160658 | Kristy Beth Malecki | Speech-Language Pathologist | 7355 W Orangewood, Desert Spirit School, Glendale, AZ 85303 | 2007-03-12 |
1104980325 | Sharon Yvonne Thompson | Technician | 7384 W Colter St, Glendale, AZ 85303 | 2006-12-21 |
1447772264 | Bob Kabamba | Behavior Technician | 7136 N 73rd Dr, Gendale, AZ 85303 | 2017-07-13 |
1427420504 | Quick Med Center LLC | Family Medicine | 5104 N 67th Ave, Glendale, AZ 85303 | 2015-10-28 |
Find all providers in zip 85303 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051508 | Lifes Journey LLC | Custodial Care Facility | 7591 N 85th Dr, Glendale, AZ 85305-3982 | 2020-10-20 |
1588052583 | Loving Sisters Caregiving Service LLC | Custodial Care Facility | 12727 W Glendale Ave Lot 101, Glendale, AZ 85307-2425 | 2014-12-30 |
1003189853 | Adriana's Round-the-clock LLC | Custodial Care Facility | 7630 W John Cabot Rd, Glendale, AZ 85308-8231 | 2012-02-09 |
1376873257 | Summerville At Cobbco, Inc. | Custodial Care Facility | 426 Piedmont Ave, Glendale, CA 91206-3448 | 2009-12-28 |
1164606620 | Vineyard Adult Care Home | Custodial Care Facility | 4415 W Carol Ave, Glendale, AZ 85302-3814 | 2007-12-19 |
1578764049 | Jolley Family Assisted Living Home II | Custodial Care Facility | 5042 N 86th Dr, Glendale, AZ 85305-3313 | 2007-05-30 |
1619185071 | Alert Adult Care Inc. | Custodial Care Facility | 10247 W Missouri Ave, Glendale, AZ 85307-4300 | 2007-05-18 |
1770645335 | Miriam's Adult Care Home | Custodial Care Facility | 6426 W Del Mar Ln, Glendale, AZ 85306-3138 | 2006-12-13 |
1689661639 | The Harbor Lighthouse Care Home II | Custodial Care Facility | 4142 W Grovers Ave, Glendale, AZ 85308-2926 | 2005-10-04 |
1306833355 | The Harbor Lighthouse | Custodial Care Facility | 5940 W Pershing Ave, Glendale, AZ 85304-1123 | 2005-10-04 |
Find all providers in GLENDALE |
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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.