DESERT SPRINGS CARE HOME L.L.C. (NPI# 1699289215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699289215 |
| Entity Type | Organization |
| Organization Name | DESERT SPRINGS CARE HOME L.L.C. |
| Practice Address |
3445 W Acoma Dr Phoenix AZ 85053-5620 |
| Practice Telephone | 6024392734 |
| Practice Fax Number | 6028431475 |
| Mailing Telephone | 6024392734 |
| Mailing Fax Number | 6028431475 |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |
| Authorized Official Name | RODICA MERTIC (OWNER/CAREGIVER) |
| Authorized Official Telephone | 6024033624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 010117 | 05 |
| Street Address |
3445 W ACOMA DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85053-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065615 | Valley Addiction & Mental Health Services LLC | Nurse Practitioner | 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 | 2018-12-18 |
| 1417439100 | Amanda M Sherwin | Dietitian, Registered | 15640 N 28h Drive, Phoenix, AZ 85053 | 2018-08-30 |
| 1568970135 | Sage Counseling, Inc. | Community/Behavioral Health | 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 | 2018-01-17 |
| 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 |
| Find all providers in zip 85053 | ||||
| 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 |
|---|---|---|---|---|
| 1932725835 | Oasis Group Home LLC | Custodial Care Facility | 2206 W. Spur Dr., Phoenix, AZ 85085-5752 | 2020-06-17 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1124679931 | Lovin Touch LLC | Custodial Care Facility | 4130 W Northern Ave, Phoenix, AZ 85051-5765 | 2019-09-23 |
| 1164070819 | Love Shines Behavioral Health Homes LLC | Custodial Care Facility | 16401 N 39th Pl, Phoenix, AZ 85032-3246 | 2019-08-27 |
| 1386147262 | Desert View Assisted Living | Custodial Care Facility | 9401 N 36 Ave, Phoenix, AZ 85051-3305 | 2018-03-16 |
| 1750817763 | Flerida Cabatic | Custodial Care Facility | 27413 N 23rd Dr, Phoenix, AZ 85085-4708 | 2017-05-11 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1447645833 | Az Advanced Care LLC | Custodial Care Facility | 3137 W Lane Ave, Phoenix, AZ 85051-6522 | 2015-04-02 |
| 1447643069 | Caring Haven Homes LLC | Custodial Care Facility | 420 W Sequoia Dr, Phoenix, AZ 85027-4727 | 2015-03-05 |
| 1346645702 | Rebecca Siddiqui | Custodial Care Facility | 4113 W Hayward Ave, Phoenix, AZ 85051-5751 | 2014-10-28 |
| 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.