SARAH SHELLHOUSE (NPI# 1477162469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477162469 |
Entity Type | Individual |
Full Name | SARAH SHELLHOUSE |
Practice Address |
4035 E Stony Meadow Dr Tucson AZ 85756-3076 |
Practice Telephone | 5208700733 |
Mailing Telephone | 5208700733 |
Enumeration Date | 2020-07-27 |
Last Update Date | 2020-07-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | BH6304 | AZ | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AZ DEPT OF HEALTH SERVICES | BH6304 | 01 |
Street Address |
4035 E STONY MEADOW DR |
City | TUCSON |
State | AZ |
Zip Code | 85756-3076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598121 | Smsj Tucson Holdings LLC | General Acute Care Hospital | 7401 S Wilmot Rd, Tucson, AZ 85756 | 2020-11-03 |
1588154447 | Patrick Thurman | Counselor | 7612 E Autumn Leaf Dr, Tucson, AZ 85756 | 2018-05-16 |
1215316120 | Carlos Godoy | Contractor | 6108 E Bramble St, Tucson, AZ 85756 | 2015-05-26 |
1023388279 | Julie Marie Shute | Nurse Practitioner | 10000 S Wimot Rd, Tucson, AZ 85756 | 2012-01-05 |
1710267968 | Pneuma House | Community Based Residential Treatment Facility, Mental Illness | 4035 E Stony Meadow Drive, Tucson, AZ 85756 | 2011-08-19 |
1629305495 | Azi House LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6914 S Bittercress Rd, Tucson, AZ 85756 | 2009-11-15 |
1154707040 | Jermaine Taylor | Specialist/Technologist, Other | 4147 E Stony Meadow Dr, Tucson, AZ 85756-3077 | 2015-08-03 |
1952868127 | M. Cristina Rivera Figueroa | Behavior Technician | 4251 E Shadow Branch Dr, Tucson, AZ 85756-3093 | 2019-02-25 |
1548817497 | Christus Group Home | Community Based Residential Treatment Facility, Mental Illness | 6986 S Red Maids Dr, Tucson, AZ 85756-5100 | 2019-08-23 |
1770194557 | Best Care Behavioral Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 6986 S Red Maids Dr, Tucson, AZ 85756-5100 | 2020-08-13 |
Find all providers in zip 85756 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801493663 | Gina Hage | Respite Care | 441 S Vozack Ln, Tucson, AZ 85748-4505 | 2020-10-05 |
1780281535 | Rhonda Dodds | Respite Care | 2081 S Hidden Pasture Ln, Tucson, AZ 85748-7409 | 2020-10-05 |
1700404589 | Prince Abbrey | Respite Care | 6506 E Brushback Loop, Tucson, AZ 85756-8437 | 2020-07-08 |
1548887730 | Tina Messan | Respite Care | 8325 E Pena Blanca Dr, Tucson, AZ 85730-1213 | 2020-07-03 |
1124640321 | Guadalupe Borbon | Respite Care | 5986 S Herpa Dr, Tucson, AZ 85706-4927 | 2020-05-11 |
1265067102 | Reza Vafaie | Respite Care | 1070 W Sea Lion Dr, Tucson, AZ 85704-2542 | 2020-03-11 |
1669019725 | Thelma Lucero | Respite Care | 1386 E Mossman Rd, Tucson, AZ 85706-5625 | 2019-12-06 |
1285271403 | Wendy Wilson | Respite Care | 9800 E Golden Currant Dr, Tucson, AZ 85748-7897 | 2019-12-06 |
1740826320 | Tamboura Davis | Respite Care | 3170 S Three D Ct, Tucson, AZ 85713-6360 | 2019-11-19 |
1053966424 | Twafika Gabriel Igulu | Respite Care | 2935 S Kolb Rd, Tucson, AZ 85730-1747 | 2019-08-02 |
Find all providers in TUCSON |
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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.