CK HEALTHCARE LLC (NPI# 1164715421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164715421 |
| Entity Type | Organization |
| Organization Name | CK HEALTHCARE LLC |
| Practice Address |
12409 W Indian School Rd Suite B-210 Avondale AZ 85323 |
| Mailing Address |
Po Box 2954 Phoenix AZ 85062-2954 |
| Practice Telephone | 6028895833 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2012-03-23 |
| Authorized Official Name | CHRISTOPHER KELSCH (MANAGER) |
| Authorized Official Telephone | 6028895833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 132700000X | Dietary Manager | Dietary & Nutritional Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
Chiropractic Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12409 W INDIAN SCHOOL RD SUITE B-210 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265725485 | Tm Healthcare LLC | Chiropractor | 12409 W Indian School Rd Suite B-210, Avondale, AZ 85323 | 2011-05-20 |
| 1497048623 | Km Healthcare LLC | Chiropractor | 12409 W Indian School Rd Suite B-210, Avondale, AZ 85323 | 2011-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569759 | Preferred Body Solutions LLC | Nurse Practitioner | 11418 W Rosewood Dr, Avondale, AZ 85392-3421 | 2020-05-07 |
| 1336777424 | Baldish Kaur Khera | Nurse Practitioner | 2202 N 118th Dr, Avondale, AZ 85392-3061 | 2020-04-01 |
| 1336784446 | Heather Hefner | Nurse Practitioner | 3617 N 103rd Dr, Avondale, AZ 85392-4477 | 2019-11-12 |
| 1912413618 | Shawnte Edmond | Nurse Practitioner | 10815 W Mcdowell Rd Ste 201, Avondale, AZ 85392-5010 | 2017-12-18 |
| 1710413497 | Ameeta Chowdhary | Nurse Practitioner | 10575 West Indian School Rd. Suite E-103, Avondale, AZ 85392-5649 | 2017-05-02 |
| 1023556578 | Courtney Standifird | Nurse Practitioner | 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392-4901 | 2017-02-04 |
| 1992146369 | Arthur Albert Mcdonald II | Nurse Practitioner | 11320 W Primrose Dr, Avondale, AZ 85392-3413 | 2013-07-12 |
| 1962607747 | Leslie Ann Gartley | Nurse Practitioner | 2318 S 113th Ave, Avondale, AZ 85323-9179 | 2007-06-20 |
| 1710509153 | Preferred Healthcare Services | Nurse Practitioner | 11418 W Rosewood Dr, Avondale, AZ 85392-3421 | 2020-05-08 |
| 1033776927 | Amy Christine Amore | Nurse Practitioner | 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392-6437 | 2019-05-25 |
| Find all providers in AVONDALE | ||||
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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.