GEORGE CARROLL (NPI# 1750445656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750445656 |
Entity Type | Individual |
Full Name | GEORGE CARROLL |
Practice Address |
9988 W Mission Rd Arizona City AZ 85223 |
Mailing Address |
Po Box 579 Arizona City AZ 85223-0579 |
Practice Telephone | 5204666642 |
Enumeration Date | 2006-12-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073644985 | George William Carroll | Internal Medicine | 100 East Sybelia Ave, Suite 140, Maitland, FL 32751-4750 | 2007-03-09 |
Street Address |
9988 W MISSION RD |
City | ARIZONA CITY |
State | AZ |
Zip Code | 85223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215190335 | Desert Rose Healt Care Services | Respite Care | 12312 W. Delwood Drive, # 3699, Arizona City, AZ 85223 | 2008-07-09 |
1598942302 | Habilitation and Independant Living | Assisted Living Facility | 12291 W. Cabrillo Dr, Arizona City, AZ 85223 | 2008-01-23 |
1407912975 | Deanna Lyn Alexander | Respite Care | 11382 W Delwood Dr, Arizona City, AZ 85223 | 2006-12-29 |
1427114743 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 8428 W. Royal Blackheath, Casa Grande, AZ 85223 | 2006-12-29 |
1477619211 | Mildred Arnett | Respite Care | 14362 Padre Rd, Arizona City, AZ 85223 | 2006-12-28 |
1174689855 | Ann Marie Lewis | Respite Care | 8682 W Raven Dr, Arizona City, AZ 85223 | 2006-12-28 |
1841234036 | Bradley Paul Burke | Chiropractor | 13350 S Sunland Gin Rd, Arizona City, AZ 85223-0789 | 2006-06-16 |
1881838399 | Arizona's Pinal County Youth @ Cababi House | Residential Treatment Facility, Emotionally Disturbed Children | 14643 S Cababi Road, Arizona City, AZ 85223-1427 | 2009-04-28 |
1821279563 | Sue Ann Riese | Psychologist | 15838 South Maui Circle, Arizona City, AZ 85223-1516 | 2007-11-23 |
1851515241 | Park Place Outreach and Counseling Centers Inc | Residential Treatment Facility, Emotionally Disturbed Children | 9373 W Battaglia, Arizona City, AZ 85223-2779 | 2007-04-13 |
Find all providers in zip 85223 |
Taxonomy Code | 385HR2055X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Illness, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407912975 | Deanna Lyn Alexander | Respite Care | 11382 W Delwood Dr, Arizona City, AZ 85223 | 2006-12-29 |
1477619211 | Mildred Arnett | Respite Care | 14362 Padre Rd, Arizona City, AZ 85223 | 2006-12-28 |
1174689855 | Ann Marie Lewis | Respite Care | 8682 W Raven Dr, Arizona City, AZ 85223 | 2006-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
Find all providers with the same taxonomy |
City | ARIZONA CITY |
Zip Code | 85223 |
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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.