CARSON CARE FACILITY LLC (NPI# 1972159093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972159093 |
| Entity Type | Organization |
| Organization Name | CARSON CARE FACILITY LLC |
| Practice Address |
6736 W Carson Rd Laveen AZ 85339-7024 |
| Mailing Address |
2920 N Litchfield Rd Ste 100 Goodyear AZ 85395 |
| Practice Telephone | 6232365843 |
| Mailing Telephone | 6232365843 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | STEPHEN COTTON (MEMBER) |
| Authorized Official Telephone | 6232365843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
6736 W CARSON RD |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336642958 | Project180-phoenix, LLC | Clinic/Center | 6736 W Carson Rd, Laveen, AZ 85339-7024 | 2018-03-09 |
| 1861967960 | Harbor Behavioral Health & Counseling, LLC | Community/Behavioral Health | 6736 W Carson Rd, Laveen, AZ 85339-7024 | 2018-10-04 |
| 1306327770 | Johnwick Nathan | Counselor | 6736 W Carson Rd, Laveen, AZ 85339-7024 | 2018-08-23 |
| 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 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 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 |
| Find all providers in zip 85339 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386043412 | D.r.w. & Associates Unlimited, LLC | Assisted Living Facility | 4606 W Corral Rd, Laveen, AZ 85339-2056 | 2014-08-14 |
| 1154617132 | A Home for Comfort LLC | Assisted Living Facility | 5330 W. Euclid Ave, Laveen, AZ 85339 | 2011-06-28 |
| 1013244037 | Renaissance Assisted Living | Assisted Living Facility | 4409 W Coplan Farms Rd, Laveen, AZ 85339-7132 | 2009-11-12 |
| 1083885586 | Mjl Companies | Assisted Living Facility | 11629 S 43rd Ave, Laveen, AZ 85339-3245 | 2008-03-12 |
| 1275738759 | Richmond Manor Adult Care | Assisted Living Facility | 4356 W St Catherine Ave, Laveen, AZ 85339-6233 | 2007-06-15 |
| 1730535709 | A Home for Comfort Care | Assisted Living Facility | 5330 W Euclid Ave, Laveen, AZ 85339-7146 | 2016-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730508 | Gheorghe Patrutescu | Assisted Living Facility | 16134 N 72nd Ln, Peoria, AZ 85382-4937 | 2020-11-03 |
| 1942800966 | Yibu Liu | Assisted Living Facility | 3569 E Utopia Rd, Phoenix, AZ 85050-3967 | 2020-10-28 |
| 1386243269 | Harmony House Tucson LLC | Assisted Living Facility | 12651 E Speedway Blvd, Tucson, AZ 85748-2060 | 2020-10-21 |
| 1710586664 | Sunland Springs Memory Care, LLC | Assisted Living Facility | 2415 S Signal Butte Rd, Mesa, AZ 85209-2107 | 2020-10-21 |
| 1487253860 | Ronald Jingco Calaguas | Assisted Living Facility | 2432 W Portobello Ave, Mesa, AZ 85202-7871 | 2020-10-18 |
| 1992303374 | Azi House LLC | Assisted Living Facility | 1200 W Chapala Dr, Tucson, AZ 85704-4521 | 2020-10-16 |
| 1609474030 | Fisher Family Home LLC | Assisted Living Facility | 2927 W Redfield Rd, Phoenix, AZ 85053-7712 | 2020-10-16 |
| 1235736687 | Ana's Assisted Living Home, LLC | Assisted Living Facility | 13238 N 35th St, Phoenix, AZ 85032-6110 | 2020-10-07 |
| 1205433844 | Angelic Care LLC | Assisted Living Facility | 15247 W Wethersfield Rd, Surprise, AZ 85379-9177 | 2020-10-07 |
| 1689281347 | Gilbert Al Partners, Lp | Assisted Living Facility | 1445 E Willis Rd, Gilbert, AZ 85297-7352 | 2020-09-28 |
| 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.