JIM MUNENE (NPI# 1831684919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831684919 |
| Entity Type | Individual |
| Full Name | JIM MUNENE |
| Credential | DIRECTOR |
| Practice Address |
425 Bernini Ave Sierra Vista AZ 85635-2369 |
| Practice Telephone | 5208205073 |
| Mailing Telephone | 5208205073 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
425 BERNINI AVE |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124513205 | Jr Caring Hearts, LLC | Hospice Care, Community Based | 425 Bernini Ave, Sierra Vista, AZ 85635-2369 | 2018-06-29 |
| 1700371879 | Jr Handicap Transport, LLC | Non-emergency Medical Transport (VAN) | 425 Bernini Ave, Sierra Vista, AZ 85635-2369 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 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 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841439452 | Susan Marie Payne | Technician | 6140 E Scott Pl, Sierra Vista, AZ 85635-9530 | 2009-02-05 |
| 1932326030 | Jessica Lynn Meinhardt | Technician | 2982 S Honig Trl, Sierra Vista, AZ 85650-8623 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645443 | Mercedes Evelyn Haile | Technician | 1989 Mesquite Ave Unit 1, Lake Havasu City, AZ 86403-5730 | 2020-09-30 |
| 1255942702 | A2z Caregivers, LLC | Technician | 4365 E Pecos Rd Ste 119, Gilbert, AZ 85295-8052 | 2020-08-10 |
| 1528608601 | Kathy Armstrong | Technician | 120 W Dobbins Rd Apt 109120w, Phoenix, AZ 85041-8536 | 2020-01-07 |
| 1548723372 | Sonia Monique Aguilar | Technician | 3140 Kearsage Dr # F230, Lake Havasu City, AZ 86406-9086 | 2019-04-09 |
| 1447710652 | Sierrabehavioralhealth.llc | Technician | 18427 N 33rd Ave, Phoenix, AZ 85053-1050 | 2019-03-22 |
| 1891277406 | Elsa Delcid | Technician | 14192 N Calico Dr, Dolan Springs, AZ 86441-9543 | 2018-08-30 |
| 1972089639 | Maria Moreno-branch | Technician | 16202 W Williams St, Goodyear, AZ 85338-3491 | 2018-07-16 |
| 1619465887 | Jacqueline Kate Jamison | Technician | 3148 E 2nd St Unit 2, Tucson, AZ 85716-4240 | 2018-04-24 |
| 1285121624 | Tamara Twellman | Technician | 562 N Chippewa Dr, Chandler, AZ 85224-4328 | 2018-04-20 |
| 1427555689 | Andrew Lopez | Technician | 6730 N 17th Ave Apt 201, Phoenix, AZ 85015-1394 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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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.