THAD MALIK (NPI# 1982177689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982177689 |
| Entity Type | Individual |
| Full Name | THAD MALIK |
| Practice Address |
1708 Sequoia Dr Prescott AZ 86301-1243 |
| Practice Telephone | 2488255715 |
| Mailing Telephone | 2488255715 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 9685638 | AZ | Agencies |
| Street Address |
1708 SEQUOIA DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1972048312 | Safeway Angels Youth Facility LLC | Foster Care Agency | 231 S Mission Abo Ln, Casa Grande, AZ 85194-8549 | 2016-12-20 |
| 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.