ARIZONA TRAINING PROGRAM - CAMPBELL (NPI# 1982869632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982869632 |
Entity Type | Organization |
Organization Name | ARIZONA TRAINING PROGRAM - CAMPBELL |
Practice Address |
2327 W Campbell Phoenix AZ 85015 |
Mailing Address |
1789 W Jefferson Street Phoenix AZ 85005 |
Practice Telephone | 6022308494 |
Mailing Telephone | 6025426857 |
Mailing Fax Number | 6023641322 |
Enumeration Date | 2008-07-22 |
Last Update Date | 2008-07-22 |
Authorized Official Name | BARBARA BRENT (ASSISTANT DIRECTOR) |
Authorized Official Telephone | 6025426857 |
Is Organization Subpart | Y |
Parent Organization Name | STATE OF ARIZONA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | AZ | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 040056 | 05 |
Street Address |
2327 W CAMPBELL |
City | PHOENIX |
State | AZ |
Zip Code | 85015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
Find all providers in zip 85015 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881859536 | Arizona Training Program - Windsor | Intermediate Care Facility, Mentally Retarded | 1750 E Windsor, Phoenix, AZ 85006 | 2008-07-22 |
1619132354 | Arizona Training Program - Pinchot | Intermediate Care Facility, Mentally Retarded | 3322 E Pinchot, Phoenix, AZ 85018 | 2008-07-22 |
1306001052 | Arizona Training Program - Earll | Intermediate Care Facility, Mentally Retarded | 3043 N 37th Street, Phoenix, AZ 85018 | 2008-07-22 |
1528423589 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 960 W Behrend Dr Ste 3, Phoenix, AZ 85027-4406 | 2015-12-17 |
1417178724 | Hacienda Inc | Intermediate Care Facility, Mentally Retarded | 1402 E South Mountain Ave, Phoenix, AZ 85042-7925 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679103196 | Better Horizons LLC | Intermediate Care Facility, Mentally Retarded | 18491 E Ashridge Dr, Queen Creek, AZ 85142-3619 | 2020-01-23 |
1073978037 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 6633 E Mary Dr, Tucson, AZ 85730-1650 | 2015-12-17 |
1336513043 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 413 E Rodeo Dr, Tucson, AZ 85714-2842 | 2015-11-18 |
1992179600 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 6624 E 39th St, Tucson, AZ 85730-1612 | 2015-11-18 |
1457725160 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 1070 W Schafer Dr, Tucson, AZ 85705-1528 | 2015-11-18 |
1093189706 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 140 S Camino Seco, Suite 305, Tucson, AZ 85710-4484 | 2015-11-18 |
1710130059 | Arizona Training Program @coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-10-30 |
1639323082 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
1528212974 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
1992959340 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
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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.