GROWING SPACE LLC (NPI# 1285242560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285242560 |
| Entity Type | Organization |
| Organization Name | GROWING SPACE LLC |
| Practice Address |
3940 S 79th Dr Phoenix AZ 85043-1694 |
| Practice Telephone | 4803478265 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | JOURNE DOMEK (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 4803478265 |
| Authorized Official Credential | OTL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
3940 S 79TH DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85043-1694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
| 1962936112 | Christine B Santa Cruz | Specialist/Technologist | 8101 W. Hammond Ln., Phoenix, AZ 85043 | 2017-04-14 |
| 1558704809 | Valley Independent Residential LLC | Community Based Residential Treatment Facility, Mental Illness | 6408 W Gross Ave, Phoenix, AZ 85043 | 2013-04-16 |
| 1275811598 | Diamond Manor Adult Care | Custodial Care Facility | 7330 W. Getty Drive, Phoenix, AZ 85043 | 2011-08-03 |
| 1821312877 | Bertha Romero | Case Manager/Care Coordinator | 7315 W Jones Ave, Phx, AZ 85043 | 2010-03-19 |
| 1477705788 | Patrick Lynn Perryman | Psychologist | 7250 W Buckeye Rd, Phoenix, AZ 85043 | 2008-10-17 |
| 1891910246 | Sammie Trotter | Technician | 5025 S. 24th Ave, Phoenix, AZ 85043 | 2007-04-13 |
| 1780719617 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6650 W. Lower Buckeye Rd, Phoenix, AZ 85043 | 2007-02-22 |
| 1992713689 | Occupational Health Center of The Southwest Pa | Clinic/Center | 5340 West Buckeye Road, Suite 3, Phoenix, AZ 85043 | 2006-08-04 |
| 1972523710 | William A Crane Jr. | Family Medicine | 7953 W Chickasaw St, Phoenix, AZ 85043 | 2006-07-21 |
| Find all providers in zip 85043 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
| 1164905733 | Heart Rhythm and Vascular LLC | Clinic/Center | 1848 E Thomas Rd Ste 200, Phoenix, AZ 85016-8104 | 2018-09-10 |
| 1184104291 | Chc Phoenix, LLC | Clinic/Center | 4747 E Elliot Rd Ste 32, Phoenix, AZ 85044-1630 | 2018-08-17 |
| 1659858322 | Urbane Medical LLC | Clinic/Center | 67 E Weldon Ave Ste 235, Phoenix, AZ 85012-2045 | 2018-07-25 |
| 1003304130 | Sheperd Care | Clinic/Center | 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037-2354 | 2018-04-24 |
| 1992218119 | Desert Faith Therapy Services, LLC | Clinic/Center | 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 | 2017-11-09 |
| 1700303203 | Restassured Rx | Clinic/Center | 2423 W Dunlap Ave Ste 175, Phoenix, AZ 85021-5823 | 2017-08-25 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
| 1558731794 | Neuro Focus Center-west | Clinic/Center | 2920 N 24th Ave, Phoenix, AZ 85015-5947 | 2015-09-30 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on GROWING SPACE LLC.
| 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.