MOUNTAIN CARE OF SNOWFLAKE, LLC


Address: 48 E 1st St S, Snowflake, AZ 85937-5336
Phone: 9285362726

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 48 E 1ST ST S
City SNOWFLAKE
State AZ
Zip Code 85937-5336

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City SNOWFLAKE
Zip Code 85937

Improve Information

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Dataset Information

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.

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