KATHLEEN CHRISTINE VALENCIA (NPI# 1477620532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477620532 |
| Entity Type | Individual |
| Full Name | KATHLEEN CHRISTINE VALENCIA |
| Practice Address |
10330 S. Palominas Road Hereford AZ 85615 |
| Practice Telephone | 5203660097 |
| Mailing Telephone | 5203660097 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 868979 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528395761 | Kathleen Valencia | Dentist | 2575 Glades Cir Ste 2, Weston, FL 33327-2254 | 2009-11-09 |
| Street Address |
10330 S. PALOMINAS ROAD |
| City | HEREFORD |
| State | AZ |
| Zip Code | 85615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447763677 | Diana Deray Jones | Registered Nurse | Palominas Elementary School, 6849 E. Hwy 92, Hereford, AZ 85615 | 2017-11-09 |
| 1558751800 | Goldenoaks | Assisted Living Facility | 8099 Geoffrion St, Hereford, AZ 85615 | 2015-01-26 |
| 1649536251 | Joel Childs | Respite Care | 9367 Chippewa Drive, Hereford, AZ 85615 | 2012-04-09 |
| 1275835167 | Anne M Castello | Behavioral Analyst | 9345 S. Reynolds Rd., Hereford, AZ 85615 | 2010-11-26 |
| 1609916774 | Evelyn Becker | Psychologist | 10385 E. Highway 92, Hereford, AZ 85615 | 2007-02-07 |
| 1568539625 | Steven Richard Germann | Respite Care | 10056 S. Corgi Lane, Hereford, AZ 85615 | 2006-11-30 |
| 1629417431 | Julie Marie Hutchinson | Nurse Practitioner | 10524 E Highway 92, Hereford, AZ 85615 | 2013-06-14 |
| 1942485040 | Leisa Diane Wilson Boyer | Contractor | 10385 E Hwy 92, Palominas School Dist, Hereford, AZ 85615 | 2008-01-08 |
| 1952426769 | Sandra West | Registered Nurse | 10385 E Hwy 92, Hereford, AZ 85615 | 2007-03-20 |
| 1730175084 | Aaron J Patton | Physician Assistant | 10524 E Highway 92, Hereford, AZ 85615 | 2005-09-22 |
| Find all providers in zip 85615 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649536251 | Joel Childs | Respite Care | 9367 Chippewa Drive, Hereford, AZ 85615 | 2012-04-09 |
| 1265675425 | Cecilia Ontiveros Ramirez | Respite Care | 5565 E Linda Vista Dr, Hereford, AZ 85615-8802 | 2009-04-16 |
| 1881831139 | Scott Burton | Respite Care | 5840 E Dakota Rd, Hereford, AZ 85615-9723 | 2009-01-08 |
| 1104070226 | Gary Taylor | Respite Care | 9587 E Cactus Ranch Rd, Hereford, AZ 85615-8005 | 2008-11-17 |
| 1144485582 | Jennee Dee Allan | Respite Care | 2854 E Keeling Rd, Hereford, AZ 85615-9633 | 2008-07-24 |
| 1366648578 | Ross Stanley Grimaud | Respite Care | 5699 S Mountain Side Ln, Hereford, AZ 85615-8810 | 2007-06-25 |
| 1568539625 | Steven Richard Germann | Respite Care | 10056 S. Corgi Lane, Hereford, AZ 85615 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
| 1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| 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.