SAFEWAY ANGELS YOUTH FACILITY LLC (NPI# 1972048312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972048312 |
Entity Type | Organization |
Organization Name | SAFEWAY ANGELS YOUTH FACILITY LLC |
Practice Address |
231 S Mission Abo Ln Casa Grande AZ 85194-8549 |
Practice Telephone | 4804650403 |
Practice Fax Number | 5208361043 |
Mailing Telephone | 4804650403 |
Mailing Fax Number | 5208361043 |
Enumeration Date | 2016-12-20 |
Last Update Date | 2016-12-20 |
Authorized Official Name | MRS. TIFFANY MATIK' BATTLE (CEO/ADMINISTRATOR) |
Authorized Official Telephone | 4804650403 |
Authorized Official Credential | MA,AAS,BA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253J00000X | Foster Care Agency | Agencies |
Street Address |
231 S MISSION ABO LN |
City | CASA GRANDE |
State | AZ |
Zip Code | 85194-8549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710067608 | Franklin Herok Baroi | Family Medicine | 7555 N Overfield Road, Casa Grande, AZ 85194 | 2006-10-16 |
1902990666 | Horizon Health and Wellness, Inc. | Counselor | 5497 W. Mccartney Rd, Casa Grande, AZ 85194 | 2006-10-03 |
1871787762 | Target Corporation | Durable Medical Equipment & Medical Supplies | 951 N Promenade Pkwy, Casa Grande, AZ 85194-5400 | 2007-09-04 |
1760884829 | Jason Fenker | Pharmacist | 951 N Promenade Pkwy, Casa Grande, AZ 85194-5400 | 2014-09-20 |
1144591439 | Dawn M Franklin | Pharmacist | 951 N Promenade Pkwy, T2353, Casa Grande, AZ 85194-5400 | 2012-01-19 |
1588959100 | Kelly Johanna Schneider | Pharmacist | 951 N Promenade Pkwy, Casa Grande, AZ 85194-5400 | 2011-06-10 |
1891089041 | Kyle Johnson Palmateer | Pharmacist | 951 N Promenade Pkwy, T2353, Casa Grande, AZ 85194-5400 | 2011-06-06 |
1518110865 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 917 N Promenade Pkwy, Suite 101, Casa Grande, AZ 85194-5415 | 2008-10-30 |
1164780243 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1004 N Promenade Pkwy Ste 118, Casa Grande, AZ 85194-5419 | 2012-04-26 |
1376797118 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2483 E Florence Blvd, Casa Grande, AZ 85194-5429 | 2008-11-06 |
Find all providers in zip 85194 |
Taxonomy Code | 253J00000X |
Grouping | Agencies |
Classification | Foster Care Agency |
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548620362 | Safeway House Youth Facility,llc | Foster Care Agency | 1469 E Laurel Dr, Casa Grande, AZ 85122-1775 | 2016-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152916 | Elvis W Dickson | Foster Care Agency | 4539 S St Claire, Mesa, AZ 85212-5239 | 2020-10-24 |
1689272619 | Duduyemi Sagay | Foster Care Agency | 2747 E Clifton Ave, Gilbert, AZ 85295-2308 | 2020-10-12 |
1346851771 | Caring for Angels, LLC | Foster Care Agency | 8238 W Cactus Rd Ste 100, Peoria, AZ 85381-5228 | 2020-08-10 |
1558984856 | Mount Zion New Beginnings LLC | Foster Care Agency | 30401 W Vale Dr, Buckeye, AZ 85396-6630 | 2020-05-20 |
1639792120 | The House of El Elyon | Foster Care Agency | 58 N 88th Way, Mesa, AZ 85207-8714 | 2020-05-19 |
1023666997 | Michelle Murie | Foster Care Agency | 567 Whistle Stop Rd, Clarkdale, AZ 86324-3374 | 2019-09-03 |
1437611969 | Leslie Howard | Foster Care Agency | 915 W Alta Vista Rd Apt 1042, Phoenix, AZ 85041-5648 | 2019-04-03 |
1982177689 | Thad Malik | Foster Care Agency | 1708 Sequoia Dr, Prescott, AZ 86301-1243 | 2019-01-04 |
1417433376 | Douglas Hoskins | Foster Care Agency | 5260 N Western Blvd, Prescott Valley, AZ 86314-4251 | 2018-07-13 |
1033644364 | Higher Rock Homes, Inc. | Foster Care Agency | 25447 N 40th Ln, Phoenix, AZ 85083-2437 | 2017-04-24 |
Find all providers with the same taxonomy |
City | CASA GRANDE |
Zip Code | 85194 |
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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.