SOLID FOUNDATIONS FOR LIFE, LLC (NPI# 1427684026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427684026 |
Entity Type | Organization |
Organization Name | SOLID FOUNDATIONS FOR LIFE, LLC |
Practice Address |
466 N 10th Pl Coolidge AZ 85128-3937 |
Practice Telephone | 4807178996 |
Mailing Telephone | 4807178996 |
Enumeration Date | 2020-03-16 |
Last Update Date | 2020-03-16 |
Authorized Official Name | MARCELLUS DUKES (CFO) |
Authorized Official Telephone | 4807178996 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
466 N 10TH PL |
City | COOLIDGE |
State | AZ |
Zip Code | 85128-3937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629636253 | Terhea A Smith | Physical Therapy Assistant | 2155 W Pima Ave, Coolidge, AZ 85128 | 2019-05-29 |
1912310913 | Josette Rossi | Counselor | 556 South Arizona Ave., Pinal Hispanic Council, Coolidge, AZ 85128 | 2014-06-06 |
1952745531 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 | 2013-04-25 |
1346550878 | Laura Grace Lew | Registered Nurse | 800 W. Northern Ave., Coolidge, AZ 85128 | 2010-10-18 |
1962682203 | Douglas Santiago | Audiologist | 4713 West Ginger Avenue, Coolidge, AZ 85128 | 2007-11-04 |
1528113859 | Pinal County Arizona | Public Health or Welfare | 119 W. Central Avenue, Coolidge, AZ 85128 | 2007-01-25 |
1265085567 | The River's Edge Dental | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128 | 2019-07-17 |
1700291440 | Robin Wilson | Nurse Practitioner | 1284 N Arizona Blvd, Coolidge, AZ 85128 | 2014-06-20 |
1407981384 | Max A Almodovar | Dentist | 417 W Central Ave, Ste #a, Coolidge, AZ 85128-0028 | 2007-02-22 |
1093805160 | Michael Eugene Wilkinson | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128-3203 | 2006-10-12 |
Find all providers in zip 85128 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528673548 | Above and Beyond Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1430 E Adams St, Phoenix, AZ 85034-1348 | 2020-09-15 |
1326652652 | Audacious Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1922 W Las Palmaritas Dr Apt J110, Phoenix, AZ 85021-5041 | 2020-09-03 |
1336751544 | Making Better Moves LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2314 W Saint Kateri Dr, Phoenix, AZ 85041-5342 | 2020-08-19 |
1679182042 | Home Care Sweet Home, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4522 E Michigan Ave, Phoenix, AZ 85032-1586 | 2020-07-30 |
1023626090 | 1 Family Clinic LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 315 W Elliot Rd Ste 107, Tempe, AZ 85284-1328 | 2020-07-16 |
1184240731 | Embrace Hope Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7707 W Kerby Ave, Phoenix, AZ 85043-1677 | 2020-06-19 |
1457976813 | Cactus Wren Community Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3829 W Pollack St, Phoenix, AZ 85041-6118 | 2020-06-11 |
1972127462 | Hope Haven LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6802 S 42nd Dr, Phoenix, AZ 85041-3509 | 2020-06-01 |
1285258848 | Arizona Center for Family Betterment LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18444 N 25th Ave Ste 4, Phoenix, AZ 85023-1261 | 2020-05-29 |
1780206466 | Solutions Integrated LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4150 N 12th St, Phoenix, AZ 85014-4994 | 2020-05-15 |
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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.