GEORGINA HELENE RUDZIK (NPI# 1356810766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356810766 |
| Entity Type | Individual |
| Full Name | GEORGINA HELENE RUDZIK |
| Practice Address |
2675 E Bagdad Rd San Tan Valley AZ 85143-4529 |
| Mailing Address |
1211 W Ocotillo St Coolidge AZ 85128-9152 |
| Practice Telephone | 5417408642 |
| Practice Fax Number | 6024554626 |
| Mailing Telephone | 5417408642 |
| Mailing Fax Number | 6024554626 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
9229105 | AZ | Respite Care Facility |
| Y | 253J00000X | Foster Care Agency | 9229105 | AZ | Agencies |
| Street Address |
2675 E BAGDAD RD |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85143-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
| 1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
| 1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
| 1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
| 1528496031 | Casey Manzanedo | Licensed Practical Nurse | 35900 E Charbray Dr., San Tan Valley, AZ 85143 | 2013-10-18 |
| 1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
| Find all providers in zip 85143 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152916 | Elvis W Dickson | Foster Care Agency | 4539 S St Claire, Mesa, AZ 85212-5239 | 2020-10-24 |
| 1689272619 | Duduyemi Sagay | Foster Care Agency | 2747 E Clifton Ave, Gilbert, AZ 85295-2308 | 2020-10-12 |
| 1346851771 | Caring for Angels, LLC | Foster Care Agency | 8238 W Cactus Rd Ste 100, Peoria, AZ 85381-5228 | 2020-08-10 |
| 1558984856 | Mount Zion New Beginnings LLC | Foster Care Agency | 30401 W Vale Dr, Buckeye, AZ 85396-6630 | 2020-05-20 |
| 1639792120 | The House of El Elyon | Foster Care Agency | 58 N 88th Way, Mesa, AZ 85207-8714 | 2020-05-19 |
| 1023666997 | Michelle Murie | Foster Care Agency | 567 Whistle Stop Rd, Clarkdale, AZ 86324-3374 | 2019-09-03 |
| 1437611969 | Leslie Howard | Foster Care Agency | 915 W Alta Vista Rd Apt 1042, Phoenix, AZ 85041-5648 | 2019-04-03 |
| 1982177689 | Thad Malik | Foster Care Agency | 1708 Sequoia Dr, Prescott, AZ 86301-1243 | 2019-01-04 |
| 1417433376 | Douglas Hoskins | Foster Care Agency | 5260 N Western Blvd, Prescott Valley, AZ 86314-4251 | 2018-07-13 |
| 1033644364 | Higher Rock Homes, Inc. | Foster Care Agency | 25447 N 40th Ln, Phoenix, AZ 85083-2437 | 2017-04-24 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85143 |
Please comment or provide details below to improve the information on GEORGINA HELENE RUDZIK.
| 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.