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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 871070 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265043459 | Selene Gonzalez | Social Worker | 98120 Queens Blvd, Rego Park, NY 11374-4357 | 2020-08-12 |
Street Address |
5242 W JESSICA LN |
City | LAVEEN |
State | AZ |
Zip Code | 85339-2447 |
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 |
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 |
Find all providers in zip 85339 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
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] |
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 |
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.