MIRIAM'S ADULT CARE HOME (NPI# 1770645335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770645335 |
| Entity Type | Organization |
| Organization Name | MIRIAM'S ADULT CARE HOME |
| Practice Address |
6426 W Del Mar Ln Glendale AZ 85306-3138 |
| Practice Telephone | 6237763399 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MIRELA GULER (MANAGER) |
| Authorized Official Telephone | 6237763399 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
5360 | AZ | Nursing & Custodial Care Facilities |
| Street Address |
6426 W DEL MAR LN |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-3138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| 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 |
|---|---|---|---|---|
| 1467051508 | Lifes Journey LLC | Custodial Care Facility | 7591 N 85th Dr, Glendale, AZ 85305-3982 | 2020-10-20 |
| 1639524598 | Verdant Seniors Place LLC | Custodial Care Facility | 8207 W Nicolet Ave, Glendale, AZ 85303-1822 | 2016-04-28 |
| 1588052583 | Loving Sisters Caregiving Service LLC | Custodial Care Facility | 12727 W Glendale Ave Lot 101, Glendale, AZ 85307-2425 | 2014-12-30 |
| 1003189853 | Adriana's Round-the-clock LLC | Custodial Care Facility | 7630 W John Cabot Rd, Glendale, AZ 85308-8231 | 2012-02-09 |
| 1376873257 | Summerville At Cobbco, Inc. | Custodial Care Facility | 426 Piedmont Ave, Glendale, CA 91206-3448 | 2009-12-28 |
| 1164606620 | Vineyard Adult Care Home | Custodial Care Facility | 4415 W Carol Ave, Glendale, AZ 85302-3814 | 2007-12-19 |
| 1578764049 | Jolley Family Assisted Living Home II | Custodial Care Facility | 5042 N 86th Dr, Glendale, AZ 85305-3313 | 2007-05-30 |
| 1619185071 | Alert Adult Care Inc. | Custodial Care Facility | 10247 W Missouri Ave, Glendale, AZ 85307-4300 | 2007-05-18 |
| 1689661639 | The Harbor Lighthouse Care Home II | Custodial Care Facility | 4142 W Grovers Ave, Glendale, AZ 85308-2926 | 2005-10-04 |
| 1306833355 | The Harbor Lighthouse | Custodial Care Facility | 5940 W Pershing Ave, Glendale, AZ 85304-1123 | 2005-10-04 |
| Find all providers in GLENDALE | ||||
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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.