SELLNER HOME CARE LLC (NPI# 1629233507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629233507 |
| Entity Type | Organization |
| Organization Name | SELLNER HOME CARE LLC |
| Practice Address |
775 W Desert Canyon Dr Queen Creek AZ 85243-3515 |
| Practice Telephone | 6023148282 |
| Practice Fax Number | 6023247087 |
| Mailing Telephone | 6023148282 |
| Mailing Fax Number | 6023247087 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | MR. JUDE MICHAEL SELLNER (OWNER) |
| Authorized Official Telephone | 6023148282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS ID# | 325338 | 01 |
| Street Address |
775 W DESERT CANYON DR |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85243-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811250301 | Skyline Dental Group and Orthodontics, LLP | Dentist | 1714 West Hunt Hwy, Suite 100, Queen Creek, AZ 85243 | 2012-06-19 |
| 1467672386 | Copper Dental Management | Dentist | 2510 E Hunt Highway, #28, Queen Creek, AZ 85243 | 2007-04-26 |
| 1346387404 | Joseph Timbre | Optometrist | 1725 W Hunt Highway, Queen Creek, AZ 85243 | 2007-01-30 |
| 1801942636 | Diane R Kuhlmann | Licensed Practical Nurse | 1084 W San Tan Hills, Queen Creek, AZ 85243 | 2007-01-26 |
| 1285798678 | Annette Winsor | Technician | 184 E Piccolo Ct, Queen Creek, AZ 85243 | 2006-12-20 |
| 1972675031 | Patricia Ellen Keaton | Technician | 31317 N Blackfoot Dr, Queen Creek, AZ 85243 | 2006-11-14 |
| 1134366065 | Abby Mcneil | Occupational Therapist | 31437 N Desert Star Dr, Queen Creek, AZ 85243-3046 | 2009-01-14 |
| 1265694012 | Walter M Dise | Non-emergency Medical Transport (VAN) | 34095 N Slate Creek Dr, Queen Creek, AZ 85243-3420 | 2008-07-01 |
| 1700070489 | John David Mather | Clinical Neuropsychologist | 1084 San Tan Hills Dr, Queen Creek, AZ 85243-3489 | 2007-09-05 |
| 1033328992 | Stana Hunt | Counselor | 29697 N Desert Willow Blvd, Walker Butte K-8 School, Queen Creek, AZ 85243-3917 | 2007-05-21 |
| Find all providers in zip 85243 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929022 | Carlton Olander Richardson | Home Health | 21380 E Misty Ln, Queen Creek, AZ 85142-5189 | 2019-12-17 |
| 1609869213 | Carefree Living Solutions, LLC | Home Health | 1000 E Pinon St, Queen Creek, AZ 85242-9011 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881606 | Keystone Paramedical In-home Services, Inc. | Home Health | 1889 W Queen Creek Rd Apt 1112, Chandler, AZ 85248-3089 | 2020-11-05 |
| 1578162681 | Deshea Willis | Home Health | 21150 N Tatum Blvd Apt 3049, Phoenix, AZ 85050-7238 | 2020-10-20 |
| 1609474071 | Tender Loving Home Care LLC | Home Health | 4646 E Fort Lowell Rd Ste 106, Tucson, AZ 85712-1100 | 2020-10-16 |
| 1144828831 | Vital Homecare, Inc. | Home Health | 2375 E Camelback Rd Ste 632, Phoenix, AZ 85016-3424 | 2020-10-14 |
| 1124625645 | Bright Future Behavioral Homes LLC | Home Health | 4707 E Mcdowell Rd Apt 1197, Phoenix, AZ 85008-4534 | 2020-10-07 |
| 1578170643 | Arizona American Hospice | Home Health | 1325 S 123rd Dr, Avondale, AZ 85323-3140 | 2020-09-23 |
| 1083220891 | 360care | Home Health | 3719 S Atherton Blvd, Gilbert, AZ 85297-7431 | 2020-09-17 |
| 1255947156 | Royalty Healthcare LLC | Home Health | 5670 S Eucalyptus Pl, Chandler, AZ 85249-5224 | 2020-09-17 |
| 1346856374 | Family Care Home Health & Hospice | Home Health | 1695 Mesquite Ave Ste 108, Lake Havasu City, AZ 86403-5684 | 2020-09-16 |
| 1699380048 | Robinson Group | Home Health | 1735 E Baker Dr, Tempe, AZ 85282-7206 | 2020-09-12 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85243 |
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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.