MARY ANN MWENJA (NPI# 1245753383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245753383 |
Entity Type | Individual |
Full Name | MARY ANN MWENJA |
Practice Address |
1302 S Rico Mesa AZ 85204-6349 |
Practice Telephone | (480) 300-1432 |
Mailing Telephone | 4803001432 |
Enumeration Date | 2017-07-20 |
Last Update Date | 2017-07-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | BH5129 | AZ | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AZ DEPT OF HEALTH SERVICES | BH5129 | 01 |
Street Address |
1302 S RICO |
City | MESA |
State | AZ |
Zip Code | 85204-6349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
Find all providers in zip 85204 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306473251 | Joan Gachoki | Respite Care | 11017 E Aspen Ave, Mesa, AZ 85208-8638 | 2020-03-23 |
1194297838 | Heaven Care LLC | Respite Care | 2828 S Standage, Mesa, AZ 85202-8139 | 2018-12-19 |
1760950265 | Karen Land | Respite Care | 4013 E Pueblo Ave, Mesa, AZ 85206-5122 | 2018-11-02 |
1053820563 | Sarah Kimani | Respite Care | 10064 E Nichols Ave, Mesa, AZ 85209-7932 | 2017-09-27 |
1831633072 | Virginia Mwaura | Respite Care | 3101 N 64th St, Mesa, AZ 85215-0927 | 2016-12-07 |
1376090761 | Susan Marita | Respite Care | 7335 E June St, Mesa, AZ 85207-2959 | 2016-09-02 |
1912327354 | Red Mountain Behavioral Health | Respite Care | 9331 E Onza Ave, Mesa, AZ 85212-1426 | 2014-04-24 |
1801175617 | Sarah's Assisted Living | Respite Care | 10454 E Los Lagos Vista Ave, Mesa, AZ 85209-1518 | 2011-08-10 |
1447548466 | Angel's Heart Assisted Living | Respite Care | 7815 E Obispo Ave, Mesa, AZ 85212-1524 | 2011-07-11 |
1851688022 | Four Directions LLC | Respite Care | 8142 E Plata Ave, Mesa, AZ 85212-1603 | 2011-07-07 |
Find all providers in MESA |
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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.