TRACEY SCOTT FREEMAN (NPI# 1306306931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306306931 |
| Entity Type | Individual |
| Full Name | TRACEY SCOTT FREEMAN |
| Credential | RN |
| Practice Address |
5152 E. Silver Sage Lane Cave Creek AZ 85331-3316 |
| Practice Telephone | 4803954484 |
| Practice Fax Number | 6233218797 |
| Mailing Telephone | 4803954484 |
| Mailing Fax Number | 6233218797 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Street Address |
5152 E. SILVER SAGE LANE |
| City | CAVE CREEK |
| State | AZ |
| Zip Code | 85331-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310809 | Fernisha Kaysteine Brown | Registered Nurse | 5227 E. Carefree Hwy, Cave Creek, AZ 85331 | 2020-09-09 |
| 1558996538 | Arizona Dental Professionals, P.C. | Dentist | 5355 E Carefree Hwy Ste 102, Carefree, AZ 85331 | 2020-03-10 |
| 1649738352 | Teresa Michelle Colao | Specialist/Technologist | 5250 E Montgomery Road, Cave Creek, AZ 85331 | 2019-03-12 |
| 1154839546 | Ring Chiropractic, Ltd | Chiropractor | 7208 East Cave Creek Road, Ste. F, Carefree, AZ 85331 | 2018-01-19 |
| 1568900215 | Johnathan James Kuntz | Pharmacist | 5400 E. Carefree Highway, Cave Creek, AZ 85331 | 2017-02-02 |
| 1922558576 | Christi Porter | Speech-Language Pathologist | 5228 E Barwick Dr, Cave Creek, AZ 85331 | 2016-10-06 |
| 1720483423 | Cave Creek Dentistry, LLP | Dentist | 34317 N Cave Creek Road, Suite 103, Cave Creek, AZ 85331 | 2014-10-24 |
| 1417351479 | David Joseph Morris | Pharmacist | 28138 North Tatum Blvd, Cavecreek, AZ 85331 | 2014-10-20 |
| 1871845511 | Barbara S. Woodlief | Physical Therapy Assistant | 197 South Willard, Cottonwood, AZ 85331 | 2012-10-04 |
| 1811267560 | Negin Nickie Mohebbi | Pharmacist | 5400 E. Carefree Hwy, Cave Creek, AZ 85331 | 2012-01-11 |
| Find all providers in zip 85331 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511999 | Fanaka Enterprises LLC | Assisted Living Facility | 3925 E 1st St, Tucson, AZ 85711-1001 | 2020-09-07 |
| 1114536752 | The Heritage Behavioral Health Home LLC | Assisted Living Facility | 3927 W Rovey Ave, Phoenix, AZ 85019-1633 | 2020-07-29 |
| 1801420476 | Holy Trinity Behavioral,llc | Assisted Living Facility | 1630 W Nancy Ln, Phoenix, AZ 85041-5540 | 2020-02-23 |
| 1184258758 | Holy Trinity Behavioral,llc | Assisted Living Facility | 5308 W Vernon Ave, Phoenix, AZ 85035-1953 | 2020-02-23 |
| 1487287108 | Christine M Kemboi | Assisted Living Facility | 8435 W Hughes Dr, Tolleson, AZ 85353-3902 | 2020-02-20 |
| 1154967826 | Home of Empathy LLC | Assisted Living Facility | 8102 E 6th St, Tucson, AZ 85710-2416 | 2019-11-18 |
| 1083261945 | D&g Behavioral Health LLC | Assisted Living Facility | 3119 N 46th Dr, Phoenix, AZ 85031-3705 | 2019-08-24 |
| 1881249902 | A Tender Hand Assisted Living Home, LLC, Dba | Assisted Living Facility | 6216 S 36th St, Phoenix, AZ 85042-4904 | 2019-08-06 |
| 1265098339 | Affinity of Hope Care Home | Assisted Living Facility | 7518 S 15th Dr, Phoenix, AZ 85041-6935 | 2019-05-14 |
| 1912561176 | Hope Behavioral Health Residential Care | Assisted Living Facility | 17547 W Desert Bloom St, Goodyear, AZ 85338-4713 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | CAVE CREEK |
| Zip Code | 85331 |
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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.