REVA MAE MCKENZIE


Address: 4615 No 82nd Lane, Phoenix, AZ 85033
Phone: 6238461873

REVA MAE MCKENZIE (NPI# 1801955067) 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) 1801955067
Entity Type Individual
Full Name REVA MAE MCKENZIE
Practice Address 4615 No 82nd Lane
Phoenix
AZ 85033
Practice Telephone 6238461873
Practice Fax Number 6238461910
Mailing Telephone 6238461873
Mailing Fax Number 6238461910
Enumeration Date 2006-12-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
5333 AZ Nursing Service Related Providers

Office Location

Street Address 4615 NO 82ND LANE
City PHOENIX
State AZ
Zip Code 85033

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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528608601 Kathy Armstrong Technician 120 W Dobbins Rd Apt 109120w, Phoenix, AZ 85041-8536 2020-01-07
1447710652 Sierrabehavioralhealth.llc Technician 18427 N 33rd Ave, Phoenix, AZ 85053-1050 2019-03-22
1427555689 Andrew Lopez Technician 6730 N 17th Ave Apt 201, Phoenix, AZ 85015-1394 2018-04-12
1417493115 Mary Cook Technician 2721 E Corona Ave, Phoenix, AZ 85040-2733 2017-01-18
1205380003 Deanna La Shun Owens Technician 1933 W Burgess Ln, Phoenix, AZ 85041-5440 2016-08-09
1649655036 Simone Kjolsrud Technician 1326 E Palm Ln, Phoenix, AZ 85006-2201 2015-07-27
1487056636 Pamela Renee Govan Technician 11624 N 39th Ave, Phoenix, AZ 85029-3119 2014-09-18
1487920476 Carma C Umpleby Technician 2642 E Willetta St, Phoenix, AZ 85008-4613 2012-03-24
1093080186 Thomas Burris Technician 6842 S 40th Pl, Phoenix, AZ 85042-5105 2012-03-21
1538434626 Tomasa Melendez Technician 1320 W Tamarisk St, Phoenix, AZ 85041-2350 2012-03-21
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Competitor

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City PHOENIX
Zip Code 85033

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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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