ADVANCED SUPPORTED LIVING SERVICES, LLC (NPI# 1922451665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922451665 |
| Entity Type | Organization |
| Organization Name | ADVANCED SUPPORTED LIVING SERVICES, LLC |
| Practice Address |
20403 N Lake Pleasant Rd Suite 117-232 Peoria AZ 85382-9702 |
| Practice Telephone | 4805487446 |
| Practice Fax Number | 4809071744 |
| Mailing Telephone | 4805487446 |
| Mailing Fax Number | 4809071744 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | MICHAEL JAMES CHURCHILL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4805487446 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
20403 N LAKE PLEASANT RD SUITE 117-232 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548277759 | Craig D Thompson | Dentist | 20403 N Lake Pleasant Rd, Suite 121, Peoria, AZ 85382 | 2006-08-01 |
| 1295190072 | Ventana Family Dentistry LLC | Dentist | 20403 N Lake Pleasant Rd, Suite 121, Peoria, AZ 85382-9702 | 2015-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554494 | Kingsley Healthcare and Social Services LLC | Day Training, Developmentally Disabled Services | 20449 N Lake Pleasant Rd Ste 104-106, Peoria, AZ 85382-2654 | 2020-10-03 |
| 1750857124 | Rescare Arizona, Inc. | Day Training, Developmentally Disabled Services | 7442 W Port Au Prince Ln, Peoria, AZ 85381-4447 | 2018-10-23 |
| 1194277483 | Quayle Home Care | Day Training, Developmentally Disabled Services | 29697 N 69th Dr, Peoria, AZ 85383-3178 | 2016-11-02 |
| 1043581564 | Altruistic Solution LLC | Day Training, Developmentally Disabled Services | 8929 W Fargo Dr, Peoria, AZ 85382-3739 | 2012-01-13 |
| 1184887440 | Peoria Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 4405 W Lyons Ct, Peoria, IL 61615-2808 | 2008-07-08 |
| 1063675320 | Peoria Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 6010 N Frostwood Pkwy, Peoria, IL 61615-2838 | 2008-07-08 |
| 1528221884 | Peoria Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 6116 N Frostwood Pkwy, Peoria, IL 61615-2803 | 2008-07-08 |
| 1689837189 | Peoria Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 4636 W Andover Dr, Peoria, IL 61615-2818 | 2008-07-03 |
| 1265601397 | Community Workshop and Training Center, Inc | Day Training, Developmentally Disabled Services | 3215 N University St, Peoria, IL 61604-1318 | 2008-02-22 |
| 1639382203 | Fredajohn, L.L.C. | Day Training, Developmentally Disabled Services | 7929 W Via Del Sol, Peoria, AZ 85383-2130 | 2007-05-08 |
| Find all providers in PEORIA | ||||
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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.