GREAT XPECTATIONS LLC (NPI# 1790384030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790384030 |
Entity Type | Organization |
Organization Name | GREAT XPECTATIONS LLC |
Practice Address |
4014 W Christy Dr Phoenix AZ 85029-3958 |
Mailing Address |
14955 W Bell Rd Unit 9108 Surprise AZ 85374-8286 |
Practice Telephone | 4804062313 |
Mailing Telephone | 4804062313 |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |
Authorized Official Name | MRS. SHARON ORANGE (DIRECTOR) |
Authorized Official Telephone | 4804062313 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Address | Telephone Number | Fax Number |
---|---|---|
12630 N 103rd Ave Ste 145, Sun City, AZ 853513463 | 4804062313 |
Street Address |
4014 W CHRISTY DR |
City | PHOENIX |
State | AZ |
Zip Code | 85029-3958 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
Find all providers in zip 85029 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548878556 | The Opportunity Tree | Day Training, Developmentally Disabled Services | 3146 E Windsor Ave, Phoenix, AZ 85008-1135 | 2020-07-15 |
1598381725 | Acacia Care, LLC | Day Training, Developmentally Disabled Services | 8601 N Black Canyon Hwy Ste 200, Phoenix, AZ 85021-4156 | 2020-06-23 |
1649810946 | Hearts of Hope LLC | Day Training, Developmentally Disabled Services | 4352 E Angela Dr, Phoenix, AZ 85032-2289 | 2020-01-14 |
1619518263 | Ermias Homecare LLC | Day Training, Developmentally Disabled Services | 426 W Beautiful Ln, Phoenix, AZ 85041-8013 | 2019-10-04 |
1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
1487006698 | Heartbeat Speech Therapy L.L.C. | Day Training, Developmentally Disabled Services | 16454 S 29th St, Phoenix, AZ 85048-8559 | 2016-07-12 |
1154700433 | Quincea Inc | Day Training, Developmentally Disabled Services | 5025 S Central Ave, Phoenix, AZ 85040-2154 | 2015-05-20 |
1568856359 | Rescare Arizona, Inc. | Day Training, Developmentally Disabled Services | 960 W Behrend Dr Ste 3, Phoenix, AZ 85027-4406 | 2015-03-19 |
1568809721 | Advocates for The Mentally Ill and Disadvantage | Day Training, Developmentally Disabled Services | 8545 N Black Canyon Hwy, Phoenix, AZ 85021-4119 | 2013-05-29 |
1861730053 | S.e.e.k. Arizona | Day Training, Developmentally Disabled Services | 1848 N 52nd St, Phoenix, AZ 85008-3402 | 2013-01-22 |
Find all providers in PHOENIX |
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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.