ICE CAP REHAB, LLC (NPI# 1629212691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629212691 |
Entity Type | Organization |
Organization Name | ICE CAP REHAB, LLC |
Practice Address |
10451 W Palmeras Dr Suite 237w Sun City AZ 85373-2011 |
Mailing Address |
10451 W Palmeras Dr Suite 115 Sun City AZ 85373-2011 |
Practice Telephone | 6239331896 |
Practice Fax Number | 6239334015 |
Mailing Telephone | 6239331896 |
Mailing Fax Number | 6239334015 |
Enumeration Date | 2009-04-22 |
Last Update Date | 2009-11-18 |
Authorized Official Name | JENNETH C PANALIGAN (MEMBER) |
Authorized Official Telephone | 6303698450 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | BLUE CROSS BLUE SHIELD | 1629212691 | 01 |
Street Address |
10451 W PALMERAS DR SUITE 237W |
City | SUN CITY |
State | AZ |
Zip Code | 85373-2011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821135708 | Karla Ann Mueller-schrader | Clinical Neuropsychologist | 10451 W Palmeras Dr, Suite 126c, Sun City, AZ 85373-2011 | 2007-01-31 |
1356709356 | White Tanks Counseling Pllc | Counselor | 10451 W Palmeras Dr, 211 E, Sun City, AZ 85373-2011 | 2016-02-04 |
1528462512 | Dawna Snider | Counselor | 10451 W Palmeras Dr, Sun City, AZ 85373-2011 | 2014-10-20 |
1033483326 | Christie Payne | Counselor | 10451 W Palmeras Dr, Suite 221 E, Sun City, AZ 85373-2011 | 2012-03-03 |
1124390265 | Kelly Cassady Counseling Services LLC | Marriage & Family Therapist | 10451 W Palmeras Dr, Suite 105, Sun City, AZ 85373-2011 | 2012-02-06 |
1104101773 | Kelly Cassady | Marriage & Family Therapist | 10451 W Palmeras Dr, Suite 221 E, Sun City, AZ 85373-2011 | 2011-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295372936 | Pacifica Sl Phoenix LLC | Assisted Living Facility | 17207 North Boswell Boulevard, Sun City, AZ 85373 | 2019-12-02 |
1427419894 | E&a Solutions | Clinic/Center | 24656 North Lake Pleasant Parkway, St 103-288, Peoria, AZ 85373 | 2016-03-14 |
1902010960 | Anna Paulette Baker | Counselor | 11846 W. Jessie Lane, Sun City, AZ 85373 | 2007-05-09 |
1699831412 | Josie Martinez | Respite Care | 11967 W. Villa Chula Ln., Sun City, AZ 85373 | 2006-12-28 |
1851693527 | Andoloris Medical, Pllc | Durable Medical Equipment & Medical Supplies | 10830 W Acacia Dr, Sun City, AZ 85373 | 2010-11-30 |
1841406857 | Trinity Angelyn Hudson | Speech-Language Pathologist | 17220 N Boswell Blvd, Ste L200, Sun City, AZ 85373 | 2007-05-15 |
1356555650 | Sara Elizabeth Keller | Physical Medicine & Rehabilitation | 17220 N Boswell Blvd, Ste L200, Sun City, AZ 85373 | 2007-05-09 |
1851620272 | Joseph Curtis Kovacs | Emergency Medicine | 19812 N 99th Dr, Sun City, AZ 85373-1002 | 2009-12-14 |
1649808874 | Justin Ryan Schwarting | Nurse Practitioner | 19808 N Cherry Tree Ln, Sun City, AZ 85373-1022 | 2020-04-01 |
1548684301 | Kay Marie Brittingham | Occupational Therapist | 19601 N Welk Dr, Sun City, AZ 85373-1054 | 2014-02-13 |
Find all providers in zip 85373 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942777073 | Bhsm Rehabilitation, LLC | Clinic/Center | 10503 W Thunderbird Blvd Ste 200, Sun City, AZ 85351-2746 | 2018-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336749399 | Bhsm Rehabilitation, LLC | Clinic/Center | 9377 E Bell Rd Ste 349, Scottsdale, AZ 85260-1502 | 2020-10-29 |
1598383705 | Bhsm Rehabilitation, LLC | Clinic/Center | 6380 E Grant Rd Ste 100, Tucson, AZ 85715-3884 | 2020-07-14 |
1063030732 | Bhsm Rehabilitation, LLC | Clinic/Center | 1309 N Greenfield Rd Ste 102, Mesa, AZ 85205-4009 | 2020-07-09 |
1477176071 | Bhsm Rehabilitation, LLC | Clinic/Center | 211 N Estrella Pkwy Unit 103-104, Goodyear, AZ 85338-9339 | 2020-05-19 |
1316574569 | Bhsm Rehabilitation, LLC | Clinic/Center | 885 E Warner Rd, Gilbert, AZ 85296-3075 | 2020-03-26 |
1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
1285271684 | Bhsm Rehabilitation, LLC | Clinic/Center | 25101 N Lake Pleasant Pkwy Ste B-1340, Peoria, AZ 85383-1386 | 2019-12-04 |
1528535689 | Bhsm Rehabilitation, LLC | Clinic/Center | 5605 W Eugie Ave Ste 212&215, Glendale, AZ 85304-1272 | 2018-10-26 |
1013404680 | Continuum Recovery Center | Clinic/Center | 3710 W Greenway Rd Ste 104, Phoenix, AZ 85053-3729 | 2018-04-18 |
1497271431 | Bhsm Rehabilitation, LLC | Clinic/Center | 3507 S Mercy Rd Ste A, Gilbert, AZ 85297-0441 | 2017-08-22 |
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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.