MOUNTAIN CARE OF SNOWFLAKE, LLC (NPI# 1053884452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053884452 |
Entity Type | Organization |
Organization Name | MOUNTAIN CARE OF SNOWFLAKE, LLC |
Practice Address |
48 E 1st St S Snowflake AZ 85937-5336 |
Mailing Address |
417 N Pear Snowflake AZ 85937-5089 |
Practice Telephone | 9285362726 |
Mailing Telephone | 9282436623 |
Enumeration Date | 2019-01-08 |
Last Update Date | 2019-01-08 |
Authorized Official Name | BRANDON D JOHNSON (DIRECTOR) |
Authorized Official Telephone | 9282436623 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
N | 385H00000X | Respite Care | Respite Care Facility | ||
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Street Address |
48 E 1ST ST S |
City | SNOWFLAKE |
State | AZ |
Zip Code | 85937-5336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275990368 | Traumacare Institute, Pllc | Counselor | 61 West Center Street, Snowflake, AZ 85937 | 2016-01-21 |
1659736338 | Michael Shane Luck | Counselor | 61 West Center, Snowflake, AZ 85937 | 2015-12-22 |
1093128589 | Mark Porter Caldwell | Physical Therapist | 1788 Prairie Rd, Snowflake, AZ 85937 | 2014-06-03 |
1528329331 | Craig Reed West Dds PC | Dentist | 439 South Main, Snowflake, AZ 85937 | 2012-06-07 |
1295972651 | C and K Home Furnishings | Durable Medical Equipment & Medical Supplies | 1355 S. Main Street, Snowflake, AZ 85937 | 2009-01-07 |
1821274408 | Jackie C Blair | Counselor | 146 School Bus Lane, Snowflake, AZ 85937 | 2008-01-14 |
1164575650 | Snowflake Unified School District #5 | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake, AZ 85937 | 2007-01-19 |
1225009608 | Larry W Nichols | Family Medicine | 590 S Main St, Snowflake, AZ 85937 | 2006-02-01 |
1326123720 | Snowflake School District | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake School District, Snowflake, AZ 85937-0000 | 2006-10-25 |
1679710529 | White Mountain Eye Care Center PC | Optometrist | 176 N Main St, Snowflake, AZ 85937-5054 | 2009-01-14 |
Find all providers in zip 85937 |
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 |
---|---|---|---|---|
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.