MS. BREENA BENEFIELD (NPI# 1912072448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912072448 |
| Entity Type | Individual |
| Full Name | MS. BREENA BENEFIELD |
| Other Name | CHRIS WELZ |
| Practice Address |
18357 W Beryl Ct Waddell AZ 85355-4355 |
| Practice Telephone | 6239779484 |
| Mailing Telephone | 6239779484 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
11346 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS ID NUMBER | 113717 | 01 |
| Street Address |
18357 W BERYL CT |
| City | WADDELL |
| State | AZ |
| Zip Code | 85355-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295135432 | Jennifer Fowler | Psychologist | 6431 N 181st Ave, Waddell, AZ 85355 | 2014-08-25 |
| 1033272646 | Norma M Hernandez | Technician | 18220 West North Court, Waddell, AZ 85355 | 2006-12-18 |
| 1356885164 | Elite Assisted Living Home | Assisted Living Facility | 15928 W Ironwood Dr, Waddell, AZ 85355-2001 | 2016-12-13 |
| 1326377565 | Amber Marie Werner | Military Health Care Provider | 9603 N 179th Dr, Waddell, AZ 85355-4107 | 2009-12-17 |
| 1306259171 | Aaron Alvarez | Military Health Care Provider | 18026 W Carol Ave, Waddell, AZ 85355-4127 | 2014-06-09 |
| 1528607108 | Amie Raina Cooke | Nurse Practitioner | 18072 W Vogel Ave, Waddell, AZ 85355-4133 | 2019-12-31 |
| 1245878982 | Ndolia Noma Carew Schild | Counselor | 17949 W Purdue Ave, Waddell, AZ 85355-4143 | 2019-12-12 |
| 1235307455 | Corrie Castelluccio | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2008-02-11 |
| 1578020285 | Shea Grant | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2019-02-28 |
| 1073015061 | Sarah Patricia Pratt | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2018-03-06 |
| Find all providers in zip 85355 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
| 1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| 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.