ARIZONA TRAINING PROGRAM @ COOLIDGE (NPI# 1992959340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992959340 |
| Entity Type | Organization |
| Organization Name | ARIZONA TRAINING PROGRAM @ COOLIDGE |
| Other Organization Name | 30 SANDSTONE COURT |
| Practice Address |
2800 N. Highway 87 Coolidge AZ 85228 |
| Mailing Address |
1789 W. Jefferson Street Phoenix AZ 85005 |
| Practice Telephone | 5207234151 |
| Mailing Telephone | 6025426857 |
| Mailing Fax Number | 6023641322 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | BARBARA BRENT (ASST DIR, DIV. OF DEV. DISABILITIES) |
| Authorized Official Telephone | 6025426857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 040048 | 05 |
| Other Name | Type Code |
|---|---|
| 30 Sandstone Court | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1982858338 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1467606814 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| Street Address |
2800 N. HIGHWAY 87 |
| City | COOLIDGE |
| State | AZ |
| Zip Code | 85228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1194979542 | Arizona Training Program At Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1982858338 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1467606814 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285824409 | Rasha Kumar | Optometrist | 1695 North Arizona Boulevard, Coolidge, AZ 85228 | 2007-07-25 |
| 1083825780 | Sandra Y Barkyoumb | Occupational Therapist | 2800 Highway 87, Coolidge, AZ 85228 | 2007-05-24 |
| 1033321989 | Sun Life Family Health Center, Inc. | Clinic/Center | 1284 North Arizona Road, Coolidge, AZ 85228 | 2007-05-04 |
| 1417982059 | Dental Care Inc | Dentist | 417 W Central Avenue, Suite A, Coolidge, AZ 85228 | 2006-07-12 |
| 1538308358 | Santan Dental, Pllc | Dental Hygienist | 1185 N Arizona Blvd, Coolidge, AZ 85228-3203 | 2009-02-18 |
| 1043457427 | Mindy Zahra Motahari | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85228-3203 | 2009-01-07 |
| 1750563649 | Darlene Jordan | Registered Nurse | 800 N 9th St, Coolidge, AZ 85228-3514 | 2007-12-03 |
| 1477768547 | Thelzona Irene Sibley | Registered Nurse | 800 W Northern Ave, Coolidge, AZ 85228-4000 | 2007-05-11 |
| 1144412370 | Randall David Vogelsang | Social Worker | 800 W Northern Ave, Coolidge, AZ 85228-4000 | 2007-08-12 |
| 1518022300 | Oxylife Respiratory Solutions, LLC | Durable Medical Equipment & Medical Supplies | 712 W Gibson Ave, Coolidge, AZ 85228-4104 | 2006-12-22 |
| Find all providers in zip 85228 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1194979542 | Arizona Training Program At Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1982858338 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1467606814 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 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 |
| 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 |
| 1982869632 | Arizona Training Program - Campbell | Intermediate Care Facility, Mentally Retarded | 2327 W Campbell, Phoenix, AZ 85015 | 2008-07-22 |
| 1306001052 | Arizona Training Program - Earll | Intermediate Care Facility, Mentally Retarded | 3043 N 37th Street, Phoenix, AZ 85018 | 2008-07-22 |
| 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.