CALVARY HOME CARE SERVICES INC (NPI# 1881119550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881119550 |
| Entity Type | Organization |
| Organization Name | CALVARY HOME CARE SERVICES INC |
| Practice Address |
4360 W. Alta Vista Rd Laveen AZ 85339 |
| Practice Telephone | 6156163614 |
| Mailing Telephone | 6156163614 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | OLUWAKEMI GBANGBALASA (DIRECTOR) |
| Authorized Official Telephone | 6159193614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 253J00000X | Foster Care Agency | 8326985 | AZ | Agencies |
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
4360 W. ALTA VISTA RD |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| 1326442393 | Consuelo Hidalgo | Counselor | 3611 W. Cheyenne Drive, Laveen, AZ 85339 | 2014-10-20 |
| Find all providers in zip 85339 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588121982 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6928 W Carson Rd, Laveen, AZ 85339-7028 | 2019-02-22 |
| 1679030076 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4522 W Branham Ln, Laveen, AZ 85339-7315 | 2019-02-22 |
| 1992295984 | Penali Manor LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8023 S 51st Dr, Laveen, AZ 85339-2840 | 2018-05-15 |
| 1427537091 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6920 W Carson Rd, Laveen, AZ 85339-7028 | 2018-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948954 | Forever Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4200 N Pebble Creek Pkwy Apt 2069, Goodyear, AZ 85395-9028 | 2020-10-06 |
| 1285245407 | Ams Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3058 E Nance St, Mesa, AZ 85213-1644 | 2020-08-11 |
| 1437768892 | Max Care Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2239 W Hasan Dr, Phoenix, AZ 85041-5312 | 2020-07-30 |
| 1265050876 | Arizona Alternative Support, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36379 W El Greco St, Maricopa, AZ 85138-5323 | 2020-07-09 |
| 1255957304 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7209 W Forest Grove Ave, Phoenix, AZ 85043-7303 | 2020-06-24 |
| 1265067052 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7321 S 15th Dr, Phoenix, AZ 85041-6932 | 2020-03-12 |
| 1083249874 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1506 E Irwin Ave, Phoenix, AZ 85042-5618 | 2020-03-12 |
| 1861024069 | New Roots Residency LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3139 W Carson Rd, Phoenix, AZ 85041-6342 | 2020-02-06 |
| 1972149078 | Serenitybehavioralhealth.llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15202 N Flamenco Dr, Phoenix, AZ 85053-4872 | 2019-11-23 |
| 1952945370 | Natalie Miranda Contreras | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5717 S Southland Blvd Apt D, Tucson, AZ 85706-4241 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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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.