SAFEWAY HOUSE YOUTH FACILITY,LLC (NPI# 1548620362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548620362 |
| Entity Type | Organization |
| Organization Name | SAFEWAY HOUSE YOUTH FACILITY,LLC |
| Practice Address |
1469 E Laurel Dr Casa Grande AZ 85122-1775 |
| Practice Telephone | 5205185069 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | MRS. TIFFANY MATIK' BATTLE (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 4804650403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Street Address |
1469 E LAUREL DR |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| 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 |
|---|---|---|---|---|
| 1972048312 | Safeway Angels Youth Facility LLC | Foster Care Agency | 231 S Mission Abo Ln, Casa Grande, AZ 85194-8549 | 2016-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152916 | Elvis W Dickson | Foster Care Agency | 4539 S St Claire, Mesa, AZ 85212-5239 | 2020-10-24 |
| 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 |
| 1639792120 | The House of El Elyon | Foster Care Agency | 58 N 88th Way, Mesa, AZ 85207-8714 | 2020-05-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on SAFEWAY HOUSE YOUTH FACILITY,LLC.
| 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.