SUSAN MARITA (NPI# 1376090761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376090761 |
| Entity Type | Individual |
| Full Name | SUSAN MARITA |
| Practice Address |
7335 E June St Mesa AZ 85207-2959 |
| Practice Telephone | 6024278235 |
| Mailing Telephone | 6024278235 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | BH4950 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ DHS LICENSE | BH4950 | 01 |
| Street Address |
7335 E JUNE ST |
| City | MESA |
| State | AZ |
| Zip Code | 85207-2959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241743 | Sharin Lane | Physical Therapist | Spooner North Mesa, PC, 6824 E Brown Rd # 102, Mesa, AZ 85207 | 2019-02-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1467970939 | Kerry Mae Kenley | Specialist/Technologist | 7556 E. Laurel St, Mesa, AZ 85207 | 2017-09-05 |
| 1053709287 | Barbara Bowen | Speech-Language Pathologist | 8433 E. Leland St., Mesa, AZ 85207 | 2014-12-22 |
| 1043561046 | Joseph Allen Kempton | Physical Therapist | 844 N. Ellsworth Rd, Mesa, AZ 85207 | 2012-10-01 |
| 1629327556 | Odyssey Services Corp. | Community/Behavioral Health | 8947 East Quill Street, Mesa, AZ 85207 | 2012-09-06 |
| 1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
| 1366670929 | Trevor Lee Caffall | Dentist | 6812 E. Brown Rd., Ste 102, Mesa, AZ 85207 | 2009-06-22 |
| 1396928073 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 7165 E University Dr Ste 143, Mesa, AZ 85207 | 2007-12-17 |
| 1184794075 | Karen L Thomas Pllc | Nurse Practitioner | 3902 N. Stone Gully Cricle, Mesa, AZ 85207 | 2006-11-08 |
| Find all providers in zip 85207 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473251 | Joan Gachoki | Respite Care | 11017 E Aspen Ave, Mesa, AZ 85208-8638 | 2020-03-23 |
| 1194297838 | Heaven Care LLC | Respite Care | 2828 S Standage, Mesa, AZ 85202-8139 | 2018-12-19 |
| 1760950265 | Karen Land | Respite Care | 4013 E Pueblo Ave, Mesa, AZ 85206-5122 | 2018-11-02 |
| 1053820563 | Sarah Kimani | Respite Care | 10064 E Nichols Ave, Mesa, AZ 85209-7932 | 2017-09-27 |
| 1245753383 | Mary Ann Mwenja | Respite Care | 1302 S Rico, Mesa, AZ 85204-6349 | 2017-07-20 |
| 1831633072 | Virginia Mwaura | Respite Care | 3101 N 64th St, Mesa, AZ 85215-0927 | 2016-12-07 |
| 1912327354 | Red Mountain Behavioral Health | Respite Care | 9331 E Onza Ave, Mesa, AZ 85212-1426 | 2014-04-24 |
| 1801175617 | Sarah's Assisted Living | Respite Care | 10454 E Los Lagos Vista Ave, Mesa, AZ 85209-1518 | 2011-08-10 |
| 1447548466 | Angel's Heart Assisted Living | Respite Care | 7815 E Obispo Ave, Mesa, AZ 85212-1524 | 2011-07-11 |
| 1851688022 | Four Directions LLC | Respite Care | 8142 E Plata Ave, Mesa, AZ 85212-1603 | 2011-07-07 |
| Find all providers in MESA | ||||
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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.