POLLY MUCCI (NPI# 1972834661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972834661 |
| Entity Type | Individual |
| Full Name | POLLY MUCCI |
| Practice Address |
44174 W Canyon Creek Dr Maricopa AZ 85139-5411 |
| Practice Telephone | 3303092826 |
| Mailing Telephone | 3303092826 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| 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 |
2100892 | AZ | Respite Care Facility |
| Street Address |
44174 W CANYON CREEK DR |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85139-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778899 | Star House Bhrf LLC | Clinic/Center | 44796 W Sandhill Road, Maricopa, AZ 85139 | 2020-07-23 |
| 1578020988 | Dentistry At Maricopa, LLC | Dentist | 20046 N. John Wayne Pkwy, Ste 105, Maricopa, AZ 85139 | 2019-02-22 |
| 1043732431 | The Hands of Grace | Case Management | 44570 W Sedona Trl, Maricopa, AZ 85139 | 2017-07-07 |
| 1215466636 | Dustin Jeremy Sowards | Naturopath | 18495 N Miller Way, Maricopa, AZ 85139 | 2017-06-08 |
| 1871029090 | Carolyn Wanyama | Nursing Home Administrator | 44880 W Portabello Road, Maricopa, AZ 85139 | 2017-05-08 |
| 1740638758 | Melissa Marie Trulson | Dentist | 44481 W Honeycutt Rd, Suite 109, Maricopa, AZ 85139 | 2016-05-31 |
| 1093189805 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 | 2015-11-17 |
| 1134523079 | Shadale Gillespie | Technician | 45565 W. Rainbow Dr., Maricopa, AZ 85139 | 2014-10-21 |
| 1578964516 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 | 2014-09-09 |
| 1104238716 | Jared Kenney | Dentist | 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 | 2014-05-30 |
| Find all providers in zip 85139 | ||||
| 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 |
|---|---|---|---|---|
| 1902463565 | Four Directions LLC | Respite Care | 37724 W Amalfi Ave, Maricopa, AZ 85138 | 2019-05-20 |
| 1861909657 | Four Directions LLC | Respite Care | 43989 W Wade Drive, Maricopa, AZ 85138 | 2018-01-03 |
| 1093249690 | Natasha Mays | Respite Care | 42963 W Wild Horse Trl, Maricopa, AZ 85138-8273 | 2017-04-20 |
| 1033273966 | Troy Young | Respite Care | 43241 W. Estrada Street, Maricopa, AZ 85239 | 2006-12-22 |
| 1275693897 | Lee Ann Bieber | Respite Care | 44571 W Granite Dr, Maricopa, AZ 85239 | 2006-12-12 |
| 1104984657 | Lorraine Morrow | Respite Care | 44249 W Palmen Dr, Maricopa, AZ 85239-8599 | 2006-12-05 |
| 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.