PALM VIEW ASSISTED LIVING, LLC. (NPI# 1720225055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720225055 |
| Entity Type | Organization |
| Organization Name | PALM VIEW ASSISTED LIVING, LLC. |
| Other Organization Name | PALM VIEW |
| Practice Address |
11650 E Speedway Blvd Tucson AZ 85748-2016 |
| Practice Telephone | 5207229223 |
| Practice Fax Number | 5207219379 |
| Mailing Telephone | 5207229223 |
| Mailing Fax Number | 5207219379 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |
| Authorized Official Name | RICHARD NOWELL (OWNER, EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5205718120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 07646057 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS PROVIDER ID | 912312 | 01 |
| Other Name | Type Code |
|---|---|
| Palm View | Doing Business As Name - Organization |
| Street Address |
11650 E SPEEDWAY BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85748-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386871002 | Denise Michelle Cox | Counselor | 11650 E Speedway Blvd, C/o The Healing Art of Horsemanship/stephanie Mckemy, Tucson, AZ 85748-2016 | 2009-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750892246 | Intermountain Health Center, Inc. | Community/Behavioral Health | 994 S. Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1083125587 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1020 South Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1730699679 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1040 S. Harrison Rd, Ste. 120, Tucson, AZ 85748 | 2017-10-05 |
| 1730609652 | Kathleen R Hizer | Social Worker | 2051 S Calle Mesa Del Oso, Tucson, AZ 85748 | 2017-06-21 |
| 1629453170 | Augustin Igulu Lukwango | Contractor | 994 S Harrison Road, Tucson, AZ 85748 | 2015-07-27 |
| 1588051353 | Cheol M. Choi | Dentist | 9565 E 22nd St Ste 143, Tucson, AZ 85748 | 2015-04-20 |
| 1295168722 | Sandra Lee Chmiel | Veterinarian | 9855 E Speedway Blvd, Unit 12103, Tucson, AZ 85748 | 2013-08-20 |
| 1134420649 | Leslie Cicalese | Pharmacist | 1145 South Harrison Rd, Tucson, AZ 85748 | 2010-11-15 |
| 1760711923 | Enrique Romero | Specialist/Technologist, Other | 10339 E Cowhead Saddle Ln, Tucson, AZ 85748 | 2009-12-17 |
| 1437348349 | Audrey Wolfel | Nurse Practitioner | 10315 Broadway Boulevard, Tucson, AZ 85748 | 2007-10-16 |
| Find all providers in zip 85748 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945370 | Natalie Miranda Contreras | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5717 S Southland Blvd Apt D, Tucson, AZ 85706-4241 | 2019-10-29 |
| 1023556347 | Rescare Arizona, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8040 E Eli St, Tucson, AZ 85710-5819 | 2017-02-07 |
| 1124566443 | Rescare Arizona, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3150 S Vaughn Dr, Tucson, AZ 85730-3612 | 2017-02-07 |
| 1851681118 | Origins Society and Global College | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2555 N Edith Blvd, Tucson, AZ 85716-2508 | 2011-04-07 |
| 1043424278 | Danville Services of Arizona, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 W Wetmore Rd, #201, Tucson, AZ 85705-1671 | 2007-05-09 |
| 1780895102 | Catholic Community Services of So. Az. Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 268 W Adams St, Tucson, AZ 85705-6534 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948954 | Forever Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4200 N Pebble Creek Pkwy Apt 2069, Goodyear, AZ 85395-9028 | 2020-10-06 |
| 1285245407 | Ams Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3058 E Nance St, Mesa, AZ 85213-1644 | 2020-08-11 |
| 1437768892 | Max Care Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2239 W Hasan Dr, Phoenix, AZ 85041-5312 | 2020-07-30 |
| 1265050876 | Arizona Alternative Support, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36379 W El Greco St, Maricopa, AZ 85138-5323 | 2020-07-09 |
| 1255957304 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7209 W Forest Grove Ave, Phoenix, AZ 85043-7303 | 2020-06-24 |
| 1265067052 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7321 S 15th Dr, Phoenix, AZ 85041-6932 | 2020-03-12 |
| 1083249874 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1506 E Irwin Ave, Phoenix, AZ 85042-5618 | 2020-03-12 |
| 1861024069 | New Roots Residency LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3139 W Carson Rd, Phoenix, AZ 85041-6342 | 2020-02-06 |
| 1972149078 | Serenitybehavioralhealth.llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15202 N Flamenco Dr, Phoenix, AZ 85053-4872 | 2019-11-23 |
| 1386102788 | Huduma House, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6221 W Illini St, Phoenix, AZ 85043-1915 | 2019-03-05 |
| 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.