YAJCINLLC (NPI# 1174774608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174774608 |
| Entity Type | Organization |
| Organization Name | YAJCINLLC |
| Practice Address |
1609 E Heather Dr Queen Creek AZ 85240-5682 |
| Practice Telephone | 4803930662 |
| Practice Fax Number | 6022833476 |
| Mailing Telephone | 4803930662 |
| Mailing Fax Number | 6022833476 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | KWADWO KANTANKA (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 4803930662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | BH-3086 | AZ | Residential Treatment Facilities |
| Street Address |
1609 E HEATHER DR |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85240-5682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841512407 | Smi Imaging, LLC | Radiology | 36297 N Gantzel Road, Suite 101, Queen Creek, AZ 85240 | 2010-02-24 |
| 1912152315 | Rebecca Wynn Sheridan | Registered Nurse | 301 E. Combs Rd, Queen Creek, AZ 85240 | 2008-11-26 |
| 1255598751 | Ironwood Dental Care PC | Dentist | 35 West Combs Rd, Suite 102, Queen Creek, AZ 85240 | 2008-05-21 |
| 1700086964 | Brandon Rosenberg | Occupational Therapist | 1301 E Debbie Dr, Queen Creek, AZ 85240-4003 | 2007-07-24 |
| 1073748463 | Noel I Vandyke | Respite Care | 3542 E Amarillo Way, Queen Creek, AZ 85240-4320 | 2009-05-28 |
| 1437337409 | Danielle Suzanne Stuhlmiller | Psychologist | 475 E Chelsea Dr, Queen Creek, AZ 85240-5271 | 2008-02-01 |
| 1598930216 | The House of Change | Community Based Residential Treatment Facility, Mental Illness | 41335 N Arbor Ave, Queen Creek, AZ 85240-6120 | 2008-04-23 |
| 1386891877 | Julie Ann Thacker | Occupational Therapist | 1196 E Altadonna St, Queen Creek, AZ 85240-7846 | 2008-08-26 |
| 1134301492 | Brendan Darell Cluff | Occupational Therapist | 2018 E Paso Fino Dr, Queen Creek, AZ 85240-7875 | 2007-11-28 |
| 1033380316 | Ocotillo Trails Family Dentistry | Dentist | 40975 N Ironwood Rd, #a102, Queen Creek, AZ 85240-8906 | 2008-03-14 |
| Find all providers in zip 85240 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477979607 | Krystal Collins | Residential Treatment Facility, Emotionally Disturbed Children | 21010 S 220th Pl, Queen Creek, AZ 85142-5583 | 2014-03-12 |
| 1588998520 | P.o.w.e.r. House Youth Facility | Residential Treatment Facility, Emotionally Disturbed Children | 3039 E Superior Rd, Queen Creek, AZ 85143-4580 | 2009-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666039 | Rehoboth LLC | Residential Treatment Facility, Emotionally Disturbed Children | 46136 W Mountain View Rd # A, Maricopa, AZ 85139-6796 | 2020-10-16 |
| 1962022665 | New Hope of Arizona, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8710 W Watkins St, Tolleson, AZ 85353-9028 | 2020-04-22 |
| 1639798143 | Anthony Udoinwang | Residential Treatment Facility, Emotionally Disturbed Children | 10435 W Reade Ave, Glendale, AZ 85307-4237 | 2020-04-14 |
| 1033756358 | Native Music Coalition | Residential Treatment Facility, Emotionally Disturbed Children | 5150 S Crazy Cat Ln, Tucson, AZ 85735 | 2019-12-05 |
| 1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
| 1487118865 | Serenity Preferred LLC | Residential Treatment Facility, Emotionally Disturbed Children | 17829 W Columbine Dr, Surprise, AZ 85388-5628 | 2019-01-30 |
| 1407333958 | Copa's Caring Hands LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 42251 W Bravo Dr, Maricopa, AZ 85138-2295 | 2018-07-26 |
| 1538668983 | Starks Homes LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7325 E Fayette St, Tucson, AZ 85730-2324 | 2018-02-12 |
| 1881100147 | Anna Marie Barrios | Residential Treatment Facility, Emotionally Disturbed Children | 18811 N 7th Dr, Phoenix, AZ 85027-5508 | 2017-12-22 |
| 1033625926 | Youth Transition Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1190 S Boulder St Unit D, Gilbert, AZ 85296-3792 | 2017-12-14 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85240 |
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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.