E MEDICAL GROUP OF ARIZONA NO 5 LLC (NPI# 1730728502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730728502 |
| Entity Type | Organization |
| Organization Name | E MEDICAL GROUP OF ARIZONA NO 5 LLC |
| Other Organization Name | ANGELS CARE HOME HEALTH OF ARIZONA NO. 5 |
| Practice Address |
1575 Plaza West Dr Ste C Prescott AZ 86303-5569 |
| Mailing Address |
2301 Fm 1187 Ste 203 Mansfield TX 76063 |
| Practice Telephone | 8175392456 |
| Mailing Telephone | 8174696739 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | ANGELA EDDINS (GOVERNING BOARD MEMBER) |
| Authorized Official Telephone | 8174696739 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| ANGELS CARE HOME HEALTH OF ARIZONA NO. 5 | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301, Fm 1187 Ste 203, Mansfield, TX 76063 | 8174696739 |
| Street Address |
1575 PLAZA WEST DR STE C |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-5569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952731952 | The Evangelical Lutheran Good Samaritan Society | Home Health | 1953 Commerce Center Cir, Prescott, AZ 86301-4454 | 2013-11-13 |
| 1922380765 | Yavapai Speech Technologies | Home Health | 1104 S Milton Ave, Prescott, AZ 86303-7810 | 2011-09-19 |
| 1447544689 | Bayada Home Health Care, Inc. | Home Health | 2971 Willow Creek Rd, Building 1, Suite A, Prescott, AZ 86301-4142 | 2011-06-06 |
| 1730410960 | Amedisys Arizona LLC | Home Health | 2971 Willow Creek Road, Suite 2a, Prescott, AZ 86301-4148 | 2010-01-28 |
| 1568797710 | Arches Legacy, LLC | Home Health | 3636 Crossings Dr Ste C, Prescott, AZ 86305-7190 | 2009-10-06 |
| 1942340443 | The Caring Presence, LLC | Home Health | 1024 Willow Creek Rd Ste B, Prescott, AZ 86301-1610 | 2007-02-07 |
| 1467536151 | Legacy Home Healthcare, LLC | Home Health | 3607 Crossings Dr, Suite A, Prescott, AZ 86305-7149 | 2006-10-25 |
| 1548281728 | State of Arkansas | Home Health | 1501 West First North, Nevada County Health Unit, Prescott, AR 71857-3309 | 2006-07-22 |
| 1407890437 | The Evangelical Lutheran Good Samaritan Society | Home Health | 1065 Ruth St, Prescott, AZ 86301-4454 | 2006-06-16 |
| 1437158821 | Central Arizona Home Health Care, Inc. | Home Health | 3107 Clearwater Dr, Suite A, Prescott, AZ 86305-7167 | 2005-07-18 |
| Find all providers in PRESCOTT | ||||
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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.