PHOENIX RISING OF ARIZONA LLC (NPI# 1821610080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821610080 |
| Entity Type | Organization |
| Organization Name | PHOENIX RISING OF ARIZONA LLC |
| Practice Address |
3636 N 3rd Ave Phoenix AZ 85013-3936 |
| Practice Telephone | 7024166465 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | MARILYNN TOWNER (OWNER) |
| Authorized Official Telephone | 7024166465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
3636 N 3RD AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386786614 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3636 N 3rd Ave, Suite 100, Phoenix, AZ 85013-3904 | 2007-02-13 |
| 1164998696 | Pongratz Orthotics & Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 3636 N 3rd Ave, Phoenix, AZ 85013-3936 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673548 | Above and Beyond Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1430 E Adams St, Phoenix, AZ 85034-1348 | 2020-09-15 |
| 1326652652 | Audacious Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1922 W Las Palmaritas Dr Apt J110, Phoenix, AZ 85021-5041 | 2020-09-03 |
| 1336751544 | Making Better Moves LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2314 W Saint Kateri Dr, Phoenix, AZ 85041-5342 | 2020-08-19 |
| 1679182042 | Home Care Sweet Home, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4522 E Michigan Ave, Phoenix, AZ 85032-1586 | 2020-07-30 |
| 1184240731 | Embrace Hope Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7707 W Kerby Ave, Phoenix, AZ 85043-1677 | 2020-06-19 |
| 1457976813 | Cactus Wren Community Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3829 W Pollack St, Phoenix, AZ 85041-6118 | 2020-06-11 |
| 1972127462 | Hope Haven LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6802 S 42nd Dr, Phoenix, AZ 85041-3509 | 2020-06-01 |
| 1285258848 | Arizona Center for Family Betterment LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18444 N 25th Ave Ste 4, Phoenix, AZ 85023-1261 | 2020-05-29 |
| 1780206466 | Solutions Integrated LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4150 N 12th St, Phoenix, AZ 85014-4994 | 2020-05-15 |
| 1790307486 | Smith-zen Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2727 E Camelback Rd Apt 207, Phoenix, AZ 85016-4472 | 2020-05-15 |
| 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.