MARLEY ADULT HEALTHCARE LLC (NPI# 1588297006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588297006 |
| Entity Type | Organization |
| Organization Name | MARLEY ADULT HEALTHCARE LLC |
| Practice Address |
14798 W Georgia Dr Surprise AZ 85379-4243 |
| Practice Telephone | 6022287320 |
| Practice Fax Number | 6232514758 |
| Mailing Telephone | 6022287320 |
| Mailing Fax Number | 6232514758 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | COSTEL TIRDEA (OWNER/MANAGER) |
| Authorized Official Telephone | 6022287320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
14798 W GEORGIA DR |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85379-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1306355821 | National Vision, Inc. | Technician/Technologist | Loop 303, Surprise, AZ 85379 | 2017-09-27 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1336667096 | Leon Quoc Lai | Pharmacist | 13723 Litchfield Rd, Surprise, AZ 85379 | 2017-09-01 |
| 1134664451 | Princess Valentin | Nurse Practitioner | 15400 W Waddell Road, Surprise, AZ 85379 | 2016-12-21 |
| 1871952408 | James Care Associates LLC | In Home Supportive Care | 12720 N. 149th Lane, Surprise, AZ 85379 | 2016-02-10 |
| 1669861688 | Todd Cleland | Physical Therapist | 15384 W. Dahlia Drive, Surprise, AZ 85379 | 2015-01-14 |
| 1326442187 | Sarpotdar Orthodontics, Pllc | Dentist | 13775 N. Litchfield Rd, Suite 108, Surprise, AZ 85379 | 2014-10-22 |
| Find all providers in zip 85379 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114575008 | Agape's Love | Custodial Care Facility | 16682 N West Point Pkwy Apt 123, Surprise, AZ 85374-4056 | 2019-09-03 |
| 1376059550 | Ivy Lane Assisted Living,llc | Custodial Care Facility | 18379 W Ivy Ln, Surprise, AZ 85388-2367 | 2017-12-24 |
| 1164891388 | Assisted Living of Arizona | Custodial Care Facility | 14384 W Maui Ln, Surprise, AZ 85379-8529 | 2015-09-17 |
| 1518211663 | Ashton Ranch Home Care | Custodial Care Facility | 13844 N 150th Dr, Surprise, AZ 85379-6020 | 2012-10-28 |
| 1750679239 | Georgeta Moisiu | Custodial Care Facility | 13535 W Canyon Creek Dr, Surprise, AZ 85374-5407 | 2011-07-18 |
| 1811296262 | Becky Home Health Care, LLC | Custodial Care Facility | 16551 N Dysart Rd Ste 104a, Surprise, AZ 85378-3707 | 2011-03-24 |
| 1053627356 | Gigi Meleanca | Custodial Care Facility | 15341 N 183rd Dr, Surprise, AZ 85388-7622 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093783 | Rossana R. Barretto | Custodial Care Facility | 16948 W Magnolia St, Goodyear, AZ 85338-7428 | 2020-11-06 |
| 1467051508 | Lifes Journey LLC | Custodial Care Facility | 7591 N 85th Dr, Glendale, AZ 85305-3982 | 2020-10-20 |
| 1134736820 | Bernadette Tolentino Reyes | Custodial Care Facility | 2406 S Pecan Dr, Chandler, AZ 85286-7406 | 2020-09-26 |
| 1417567371 | Zaweah Luxury Living LLC | Custodial Care Facility | 9129 S 48th Dr, Laveen, AZ 85339-2242 | 2020-08-05 |
| 1932725835 | Oasis Group Home LLC | Custodial Care Facility | 2206 W. Spur Dr., Phoenix, AZ 85085-5752 | 2020-06-17 |
| 1821618679 | Klara's II Adult Care Home | Custodial Care Facility | 2974 E Pony Ct, Gilbert, AZ 85295-3775 | 2020-04-22 |
| 1932728581 | Michael Ford | Custodial Care Facility | 10462 E Abilene Ave, Mesa, AZ 85208-8717 | 2020-04-14 |
| 1841837499 | Gemini Group, LLC | Custodial Care Facility | 5045 E Paradise Ln, Scottsdale, AZ 85254-1045 | 2019-12-03 |
| 1457997744 | Dream Street Care LLC | Custodial Care Facility | 37412 N Dream Street, Carefree, AZ 85377 | 2019-11-21 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 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.