EBENEZER BODUDE (NPI# 1275900060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275900060 |
| Entity Type | Individual |
| Full Name | EBENEZER BODUDE |
| Credential | RN |
| Practice Address |
11225 N 28th Dr Phoenix AZ 85029-5606 |
| Practice Telephone | 6026996999 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
163WH0200X | AZ | Nursing Service Providers |
| Street Address |
11225 N 28TH DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316903859 | My Family Chiropractor Inc. | Chiropractor | 11225 N 28th Dr, A-101, Phoenix, AZ 85029-5606 | 2006-04-24 |
| 1922465459 | Terry Kouris | Counselor | 11225 N 28th Dr, Suite A-101, Phoenix, AZ 85029-5606 | 2016-01-28 |
| 1568839512 | Kay Bodude | Registered Nurse | 11225 N 28th Dr, Suite D, Phoenix, AZ 85029-5606 | 2015-08-25 |
| 1134507759 | Dove & Sparrow Management LLC | In Home Supportive Care | 11225 N 28th Dr, Suite #d220a, Phoenix, AZ 85029-5606 | 2015-05-14 |
| 1568859908 | Leah Albornoz-sanchez | Naturopath | 11225 N 28th Dr, A210, Phoenix, AZ 85029-5606 | 2015-04-23 |
| 1508250887 | Best Care Home Services | Home Health | 11225 N 28th Dr, D220e, Phoenix, AZ 85029-5606 | 2015-03-24 |
| 1467841833 | Focus Employment Services, LLC | Community/Behavioral Health | 11225 N 28th Dr, Suite #d-110, Phoenix, AZ 85029-5606 | 2015-01-22 |
| 1790187318 | Come Unto Me Behavioral Health, Inc | Community/Behavioral Health | 11225 N 28th Dr, Suite A101, Phoenix, AZ 85029-5606 | 2014-09-26 |
| 1275607301 | Julie Prevoznik | Counselor | 11225 N 28th Dr, Suite D215, Phoenix, AZ 85029-5606 | 2006-11-20 |
| 1942399969 | Ellen C Katz | Psychologist | 11225 N 28th Dr, D213, Phoenix, AZ 85029-5614 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326395344 | Dorothy Bodemuller | Registered Nurse | 18034 N 41st St, Apt. 1, Phoenix, AZ 85032-1797 | 2012-08-08 |
| 1245297746 | Portrush Inc | Registered Nurse | 15255 N 40th Street, Suite 141, Phoenix, AZ 85032 | 2006-04-27 |
| 1891337978 | Christina Nicole Gracia | Registered Nurse | 1817 N 7th St, Phoenix, AZ 85006-2133 | 2019-10-10 |
| 1457888521 | Blanca Lourdes Almeraz | Registered Nurse | 3131 E Camelback Rd Ste 200, Phoenix, AZ 85016-4599 | 2017-05-18 |
| 1568839512 | Kay Bodude | Registered Nurse | 11225 N 28th Dr, Suite D, Phoenix, AZ 85029-5606 | 2015-08-25 |
| 1154752343 | A.m.i. Homecare | Registered Nurse | 20650 N 29th Pl, Ste 105, Phoenix, AZ 85050-4782 | 2013-12-12 |
| 1649506049 | Ophthalmic Nursing Care of Arizona Inc. | Registered Nurse | 2202 E Belmont Ave, Phoenix, AZ 85020-4721 | 2009-10-20 |
| 1740458751 | Erica Danielle Morin | Registered Nurse | 711 E Missouri Ave, Suite 110, Phoenix, AZ 85014-2824 | 2008-02-12 |
| 1437366309 | Ruth Bell | Registered Nurse | 7310 N 16th St, Suite 135, Phoenix, AZ 85020-5258 | 2007-05-17 |
| 1134332182 | Care Givers of Arizona, Inc. | Registered Nurse | 5501 N 19th Ave, Phoenix, AZ 85015-2450 | 2007-05-07 |
| Find all providers in PHOENIX | ||||
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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.