ROSEMARY NDUTA KAGWANJA


Address: 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635
Phone: (520) 820-8147

ROSEMARY NDUTA KAGWANJA (NPI# 1750806758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750806758
Entity Type Individual
Full Name ROSEMARY NDUTA KAGWANJA
Credential MANAGER
Practice Address 425 Bernini Avenue
N/a
Sierra Vista
AZ 85635
Mailing Address 425 Bernini Ave
Sierra Vista
AZ 85635-2369
Practice Telephone (520) 820-8147
Practice Fax Number 5208208147
Mailing Telephone 5208208147
Mailing Fax Number 5208208147
Enumeration Date 2017-08-10
Last Update Date 2018-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers
N 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers
Y 376G00000X Nursing Home Administrator Nursing Service Related Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 425 BERNINI AVENUE
N/A
City SIERRA VISTA
State AZ
Zip Code 85635

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1518515212 Canyon Vista Dental Dentist 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 2019-08-27
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1700397411 Vivian Ryu Social Worker 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 2017-10-20
1093245789 Akdhc, LLC Internal Medicine 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 2017-06-14
1609304633 Vincent Guarino Emergency Medicine 5700 E, Az-90, Sierra Vista, AZ 85635 2017-06-04
1629506811 Andrew Tang Student in an Organized Health Care Education/Training Program 5700 Arizona 90, Sierra Vista, AZ 85635 2017-06-01
1194259382 Walik Hargett Contractor 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 2017-04-14
1821541723 Joseph Thompson Family Medicine 5700 Az 90, Sierra Vista, AZ 85635 2016-07-27
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Taxonomy Information

Taxonomy Code 376G00000X
Grouping Nursing Service Related Providers
Classification Nursing Home Administrator

Taxonomy Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710598420 Estrella of Cascadia LLC Nursing Home Administrator 2020 N 95th Ave, Phoenix, AZ 85037-4334 2020-08-14
1801404298 Elaines Residential Home Nursing Home Administrator 521 S Williams Pl, Chandler, AZ 85225-6455 2020-07-21
1346867231 Floraeden Yerkovich Nursing Home Administrator 2102 N Chestnut Cir, Mesa, AZ 85213-2216 2020-06-26
1558903088 Emil Usvat Nursing Home Administrator 7878 E Vista Bonita Dr, Scottsdale, AZ 85255-4123 2019-10-16
1013570753 Helen Dike Nursing Home Administrator 320 E Oak St, Globe, AZ 85501-2145 2019-04-18
1861985277 Aniisha Sarkissian Nursing Home Administrator 2043 M Cave Creek, Phoenix, AZ 85067-3171 2018-06-11
1871029090 Carolyn Wanyama Nursing Home Administrator 44880 W Portabello Road, Maricopa, AZ 85139 2017-05-08
1003359696 Tammy Mirkazemi Nursing Home Administrator 13039 W Cheery Lynn Rd, Avondale, AZ 85392-6775 2016-11-30
1124561410 Arketa Zambakari Nursing Home Administrator 4123 N 21st St, Phoenix, AZ 85016-6109 2016-11-18
1841742806 Ladywinnie Amoo Oulanyah Nursing Home Administrator 3230 N Craycroft Rd Apt 1, Tucson, AZ 85712-5246 2016-10-25
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Competitor

Search similar providers

City SIERRA VISTA
Zip Code 85635

Improve Information

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Dataset Information

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.

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