TED RYERSBACH (NPI# 1558494641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558494641 |
| Entity Type | Individual |
| Full Name | TED RYERSBACH |
| Practice Address |
42613 N 46th Dr New River AZ 85087-5975 |
| Practice Telephone | 6235186886 |
| Mailing Telephone | 6235186886 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
638 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 962523 | ACCCHS | 01 |
| Street Address |
42613 N 46TH DR |
| City | NEW RIVER |
| State | AZ |
| Zip Code | 85087-5975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760034573 | Teresa Stevens | Chiropractor | 42806 N 20 St, Phoenix, AZ 85087 | 2019-07-11 |
| 1659703304 | Tesla Imaging and Medical | Radiology | 43817 Nth 50th Dr, Phoenix, AZ 85087 | 2013-08-05 |
| 1932383130 | Robert Michael Hurwitz | Pediatrics | 43220 N 24th Street, New River, AZ 85087 | 2007-12-24 |
| 1437201233 | Kelly Blakey | Social Worker | 42631 North 43rd Drive, Kelly's Adult Therapeutic Foster Home, New River, AZ 85087 | 2007-01-18 |
| 1336480243 | Anneli Kumpula | Nurse Practitioner | 42815 N 14th St, New River, AZ 85087-0900 | 2013-03-04 |
| 1477981553 | Michael Doukas | Contractor | 43817 N 50th Dr, Phoenix, AZ 85087-3092 | 2013-10-28 |
| 1730789694 | Maryann Potter | Counselor | 4315 W Faull Dr, New River, AZ 85087-4908 | 2020-10-29 |
| 1144579111 | Marjorie Grosch | Specialist/Technologist | 44528 N Sonoran Arroyo Ln, New River, AZ 85087-5819 | 2012-09-05 |
| 1801416243 | Bridget K Fueller | Doula | 4505 W Heyerdahl Dr, New River, AZ 85087-5905 | 2020-04-24 |
| 1194956128 | American Focus Care | Hospice Care, Community Based | 43920 N 44th Ln, Phoenix, AZ 85087-5929 | 2009-08-07 |
| Find all providers in zip 85087 | ||||
| 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 |
|---|---|---|---|---|
| 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.