NETONE ENTERPRISES, INC. (NPI# 1659565034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659565034 |
| Entity Type | Organization |
| Organization Name | NETONE ENTERPRISES, INC. |
| Other Organization Name | SHADOW RIDGE VILLA |
| Practice Address |
1259 E Macaw Dr Gilbert AZ 85297-4527 |
| Mailing Address |
3921 E Leo Pl Chandler AZ 85249-5881 |
| Practice Telephone | 4806285923 |
| Mailing Telephone | 4806298200 |
| Mailing Fax Number | 4807187955 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | MELCA AZCARRAGA MEDINA (MANAGER/OWNER) |
| Authorized Official Telephone | 4806285923 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
ALF6599 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEPARTMENT OF HEALTH | ALH6599 | 01 |
| Other Name | Type Code |
|---|---|
| Shadow Ridge Villa | Doing Business As Name - Organization |
| Street Address |
1259 E MACAW DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| 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 |
|---|---|---|---|---|
| 1821618679 | Klara's II Adult Care Home | Custodial Care Facility | 2974 E Pony Ct, Gilbert, AZ 85295-3775 | 2020-04-22 |
| 1124431176 | Serendipity Lifestyles LLC | Custodial Care Facility | 3693 E Bart St, Gilbert, AZ 85295-4655 | 2014-06-07 |
| 1780743195 | Melva Lynette Wilson-calvin | Custodial Care Facility | 22831 S Recker Rd, Gilbert, AZ 85297-8936 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093783 | Rossana R. Barretto | Custodial Care Facility | 16948 W Magnolia St, Goodyear, AZ 85338-7428 | 2020-11-06 |
| 1467051508 | Lifes Journey LLC | Custodial Care Facility | 7591 N 85th Dr, Glendale, AZ 85305-3982 | 2020-10-20 |
| 1134736820 | Bernadette Tolentino Reyes | Custodial Care Facility | 2406 S Pecan Dr, Chandler, AZ 85286-7406 | 2020-09-26 |
| 1417567371 | Zaweah Luxury Living LLC | Custodial Care Facility | 9129 S 48th Dr, Laveen, AZ 85339-2242 | 2020-08-05 |
| 1932725835 | Oasis Group Home LLC | Custodial Care Facility | 2206 W. Spur Dr., Phoenix, AZ 85085-5752 | 2020-06-17 |
| 1932728581 | Michael Ford | Custodial Care Facility | 10462 E Abilene Ave, Mesa, AZ 85208-8717 | 2020-04-14 |
| 1588297006 | Marley Adult Healthcare LLC | Custodial Care Facility | 14798 W Georgia Dr, Surprise, AZ 85379-4243 | 2020-02-13 |
| 1841837499 | Gemini Group, LLC | Custodial Care Facility | 5045 E Paradise Ln, Scottsdale, AZ 85254-1045 | 2019-12-03 |
| 1457997744 | Dream Street Care LLC | Custodial Care Facility | 37412 N Dream Street, Carefree, AZ 85377 | 2019-11-21 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 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.