RODNEY JAMAR JOHNSON (NPI# 1134617046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134617046 |
| Entity Type | Individual |
| Full Name | RODNEY JAMAR JOHNSON |
| Credential | RN |
| Practice Address |
14384 W Maui Ln Surprise AZ 85379-8529 |
| Practice Telephone | 6235569009 |
| Mailing Telephone | 6235569009 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL10660H | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 360398 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073095840 | Rodney Johnson | Contractor | 6308 W Copper Leaf Dr, Tucson, AZ 85757-7539 | 2018-08-29 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1992828289 | Rodney Marc Johnson | Allergy & Immunology | 227 Industrial Blvd, Dublin, GA 31021-2969 | 2007-04-09 |
| 1497763270 | Rodney W Johnson | Dentist | 1126 S 14th St, Kingsville, TX 78363-6371 | 2006-08-04 |
| 1962462358 | Rodney Ellis Johnson | Orthopaedic Surgery | 328 S Stillaguamish Ave, Arlington, WA 98223-1660 | 2006-03-28 |
| 1487130555 | Rodney Johnson | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2018-07-12 |
| 1285132134 | Rodney L Johnson | Counselor | 401 Robeson St, Fayetteville, NC 28301-5635 | 2018-01-25 |
| 1841703535 | Rodney Dwayne Johnson | Counselor | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2017-11-16 |
| 1093227522 | Rodney Scott Johnson | Counselor | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2017-10-24 |
| 1114450053 | Rodney Johnson | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2017-04-07 |
| Street Address |
14384 W MAUI LN |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85379-8529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164891388 | Assisted Living of Arizona | Custodial Care Facility | 14384 W Maui Ln, Surprise, AZ 85379-8529 | 2015-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1306355821 | National Vision, Inc. | Technician/Technologist | Loop 303, Surprise, AZ 85379 | 2017-09-27 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1336667096 | Leon Quoc Lai | Pharmacist | 13723 Litchfield Rd, Surprise, AZ 85379 | 2017-09-01 |
| 1134664451 | Princess Valentin | Nurse Practitioner | 15400 W Waddell Road, Surprise, AZ 85379 | 2016-12-21 |
| 1871952408 | James Care Associates LLC | In Home Supportive Care | 12720 N. 149th Lane, Surprise, AZ 85379 | 2016-02-10 |
| 1669861688 | Todd Cleland | Physical Therapist | 15384 W. Dahlia Drive, Surprise, AZ 85379 | 2015-01-14 |
| 1326442187 | Sarpotdar Orthodontics, Pllc | Dentist | 13775 N. Litchfield Rd, Suite 108, Surprise, AZ 85379 | 2014-10-22 |
| Find all providers in zip 85379 | ||||
| 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 |
|---|---|---|---|---|
| 1205433844 | Angelic Care LLC | Assisted Living Facility | 15247 W Wethersfield Rd, Surprise, AZ 85379-9177 | 2020-10-07 |
| 1285241356 | Andicare LLC | Assisted Living Facility | 15358 W Post Cir, Surprise, AZ 85374-1422 | 2020-09-23 |
| 1699314138 | Crystal Rose | Assisted Living Facility | 13750 W Crocus Dr, Surprise, AZ 85379-8342 | 2020-01-01 |
| 1649826553 | K.s.i Group LLC | Assisted Living Facility | 15328 W Peak View Rd, Surprise, AZ 85387-6905 | 2019-08-15 |
| 1952962607 | Loving Heart | Assisted Living Facility | 11318 N 145th Ln, Surprise, AZ 85379-4353 | 2019-06-24 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1174094338 | Radiant Care Home | Assisted Living Facility | 15174 W Boca Raton Rd, Surprise, AZ 85379-8005 | 2018-12-16 |
| 1811463508 | Dolce Vita Assisted Living | Assisted Living Facility | 15664 N 164th Ln, Surprise, AZ 85388-1117 | 2018-10-19 |
| 1275017998 | Paradise for Parents Quality Care,llc | Assisted Living Facility | 14210 N 138th Ct, Surprise, AZ 85379-8493 | 2018-09-19 |
| 1821572785 | Love and Care II Assisted Living, LLC | Assisted Living Facility | 16786 W Electra Ln, Surprise, AZ 85387-2027 | 2018-09-18 |
| Find all providers in SURPRISE | ||||
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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.