ELVIS W DICKSON (NPI# 1477152916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477152916 |
| Entity Type | Individual |
| Full Name | ELVIS W DICKSON |
| Practice Address |
4539 S St Claire Mesa AZ 85212-5239 |
| Practice Telephone | 4803993727 |
| Mailing Telephone | 4803993727 |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 812921961A1 | AZ | Agencies |
| Street Address |
4539 S ST CLAIRE |
| City | MESA |
| State | AZ |
| Zip Code | 85212-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| 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 |
|---|---|---|---|---|
| 1639792120 | The House of El Elyon | Foster Care Agency | 58 N 88th Way, Mesa, AZ 85207-8714 | 2020-05-19 |
| 1598906273 | A New Leaf | Foster Care Agency | 1438 S Norfolk, Mesa, AZ 85206-3320 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1972048312 | Safeway Angels Youth Facility LLC | Foster Care Agency | 231 S Mission Abo Ln, Casa Grande, AZ 85194-8549 | 2016-12-20 |
| 1942659990 | A Broad Journey Intervention | Foster Care Agency | 619 W Beautiful Ln, Phoenix, AZ 85041-8050 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
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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.