CHARLYN PONDS (NPI# 1285276345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285276345 |
| Entity Type | Individual |
| Full Name | CHARLYN PONDS |
| Practice Address |
235 E Ray Rd Apt 2035 Chandler AZ 85225-3362 |
| Practice Telephone | 4806929136 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
8091955 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ DEPT OF HEALTH SERVICES | 8091955 | 01 |
| Street Address |
235 E RAY RD APT 2035 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85225-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
| 1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| 1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| 1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
| 1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Find all providers in zip 85225 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619529765 | Robia Feilds | Respite Care | 2875 E Detroit St, Chandler, AZ 85225-3022 | 2019-07-09 |
| 1063558351 | Jill Reel | Respite Care | 2542 E Coronita Cir, Chandler, AZ 85225-6022 | 2007-01-30 |
| 1538225925 | Lisa Patsy Gunn | Respite Care | 21 N Velero Ct, Chandler, AZ 85225-5706 | 2006-12-29 |
| 1992254551 | Alexis Ricci | Respite Care | 2150 S Arizona Ave, Apt 1081, Chandler, AZ 85286-7725 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
| 1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| 1215586128 | Sara Zermeno | Respite Care | 12734 E 44th Dr, Yuma, AZ 85367-4734 | 2019-09-04 |
| Find all providers with the same taxonomy | ||||
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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.