WESTCHESTER TBI HOME CARE LLC (NPI# 1376908996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376908996 |
| Entity Type | Organization |
| Organization Name | WESTCHESTER TBI HOME CARE LLC |
| Other Organization Name | TEMPE TBI HOME CARE LLC |
| Practice Address |
1046 E Westchester Dr Tempe AZ 85283-3039 |
| Practice Telephone | 4802752221 |
| Practice Fax Number | 4803616471 |
| Mailing Telephone | 4802752221 |
| Mailing Fax Number | 4803616471 |
| Enumeration Date | 2015-12-25 |
| Last Update Date | 2015-12-25 |
| Authorized Official Name | MRS. SOPHIA SAMANTHA QENDRO (MANAGER/OWNER) |
| Authorized Official Telephone | 4802752221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | AL9833H | AZ | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Tempe TBI Home Care LLC | Doing Business As Name - Organization |
| Street Address |
1046 E WESTCHESTER DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1194277426 | Women's Medical & Gyn Centre, LLC | Point of Service | 2055 Highway 95, Bullhead City, AZ 86442-6004 | 2016-11-03 |
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| 1144692872 | Solera Health, Inc. | Point of Service | 111 W Monroe St Ste 300, Phoenix, AZ 85003-1718 | 2015-10-21 |
| 1609245323 | Walter Edward Heuck | Point of Service | 15113 W Las Brizas Ln, Sun City West, AZ 85375-3056 | 2015-09-23 |
| 1962878744 | Gimo Pharmacuetical Services | Point of Service | 12809 W Indianola Ave, Avondale, AZ 85392-6723 | 2015-08-17 |
| 1720464233 | April Cole, Rn | Point of Service | 20504 E Riggs Rd, Queen Creek, AZ 85142-5297 | 2015-08-06 |
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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.