SELENE VERONICA GONZALEZ


Address: 5242 W Jessica Ln, Laveen, AZ 85339-2447
Phone: 6027538389

SELENE VERONICA GONZALEZ (NPI# 1144660994) 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) 1144660994
Entity Type Individual
Full Name SELENE VERONICA GONZALEZ
Practice Address 5242 W Jessica Ln
Laveen
AZ 85339-2447
Practice Telephone 6027538389
Mailing Telephone 6027538389
Enumeration Date 2013-06-25
Last Update Date 2014-05-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 372500000X Chore Provider Nursing Service Related Providers
N 372600000X Adult Companion Nursing Service Related Providers
N 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers
N 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 871070 05

Other Providers SELENE GONZALEZ

NPI Name Taxonomy Address Enumeration
1265043459 Selene Gonzalez Social Worker 98120 Queens Blvd, Rego Park, NY 11374-4357 2020-08-12

Office Location

Street Address 5242 W JESSICA LN
City LAVEEN
State AZ
Zip Code 85339-2447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508206343 Valley Travelers Social Exploration Inc. Day Training, Developmentally Disabled Services 5242 W Jessica Ln, Laveen, AZ 85339-2447 2013-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093351611 Nationwide Vision Center, LLC Technician/Technologist 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 2019-11-19
1164074282 Alvis Lee Robertson Counselor 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 2019-07-09
1912493933 Kristine Robles Specialist/Technologist 6501 W Alta Vista Rd, Laveen, AZ 85339 2018-07-02
1366968521 Care Line, LLC Home Health 5818 West Pedro Lane, Laveen, AZ 85339 2017-08-19
1881119550 Calvary Home Care Services Inc Day Training, Developmentally Disabled Services 4360 W. Alta Vista Rd, Laveen, AZ 85339 2017-08-03
1295284354 Brian Hiapo Jr. Assistant, Podiatric 6170 S 51st Ave Ste 103, Laveen, AZ 85339 2016-09-29
1962850073 Laveen Pediatric Dental Partners, LLP Dentist 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 2016-05-31
1619353992 Tiffany Lee Specialist/Technologist 7034 S. 64ave, Laveen, AZ 85339 2015-08-10
1558759068 Makoto Wakamori Counselor 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 2015-01-06
1568850329 Gila River Health Care Corporation Community Based Residential Treatment Facility, Mental Illness 142226 S 53rd Ave, Laveen, AZ 85339 2015-01-02
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538760525 Ayomikun Ajulo Technician 7426 W Cheryl Dr, Peoria, AZ 85345-6723 2020-11-05
1306458609 Tammy Kloser Technician 21738 N 91st Ln, Peoria, AZ 85382-8345 2020-08-18
1770191181 Valerie Ann Beuschlein Technician 1507 N Sterling, Mesa, AZ 85207-3830 2020-07-21
1669090114 Rogers K Bagia Technician 3141 W Maldonado Rd, Phoenix, AZ 85041-6372 2020-07-10
1780201087 Jovanna A Noriega Technician 4533 E Rolling Ridge Rd, San Tan Valley, AZ 85140-9576 2020-07-02
1689291320 Andrew Young Technician 9980 N Hacienda Hermosa Dr, Tucson, AZ 85737-3645 2020-06-29
1730706730 Shindona Duffey Technician 16069 W Sierra St, Goodyear, AZ 85338-3575 2020-06-25
1679197883 Amanda Lee Pethers Technician 13820 S 44th St Apt 1129, Phoenix, AZ 85044-4857 2020-06-03
1063049385 Natacha Clerfond Technician 5728 N 67th Dr, Glendale, AZ 85303-4902 2020-03-25
1376177410 Jo Ann Chavez Technician 13561 N Sandra Rd, Marana, AZ 85658-4132 2020-02-27
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Competitor

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City LAVEEN
Zip Code 85339

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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