GLENDA DILLARD (NPI# 1629603469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629603469 |
| Entity Type | Individual |
| Full Name | GLENDA DILLARD |
| Practice Address |
7405 S 39th Dr Phoenix AZ 85041-6002 |
| Mailing Address |
3170 Stillwater Dr Prescott AZ 86305-7151 |
| Practice Telephone | 7088133458 |
| Mailing Telephone | 9287773280 |
| Mailing Fax Number | 9287171660 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
7405 S 39TH DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85041-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915843 | Our Home of Unity LLC | Counselor | 6804 S 21st Dr, Phoenix, AZ 85041 | 2019-07-25 |
| 1447816590 | Mbong Jerry Ngwese | Physical Therapist | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-14 |
| 1588228373 | Arizona Dental Management | Dentist | 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 | 2019-04-26 |
| 1447780135 | Mesa Dental Arizona LLC | Dentist | 3320 W Southern Ave #111, Phoenix, AZ 85041 | 2017-06-14 |
| 1932564697 | Job Elliott | Counselor | 4105 W Saint Charles Ave, Phoenix, AZ 85041 | 2015-12-23 |
| 1376914739 | Black Family and Child Services Inc | Community/Behavioral Health | 6811 West 33rd Ave, Phoenix, AZ 85041 | 2015-10-12 |
| 1972900983 | Love Living Life | Assisted Living Facility | 5737 S. 34th Ave, Phoenix, AZ 85041 | 2014-11-20 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1265616213 | Southern Dental | Dentist | 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 | 2007-12-27 |
| 1518140086 | Arizona Cvs Stores,l.l.c. | Durable Medical Equipment & Medical Supplies | 7550 South 19th Ave, Phoenix, AZ 85041 | 2007-12-07 |
| Find all providers in zip 85041 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439538 | April J Winston | Case Manager/Care Coordinator | 2375 E Camelback Rd Ste 600628, Phoenix, AZ 85016-3424 | 2020-08-25 |
| 1215592746 | Debra Ann Beldone | Case Manager/Care Coordinator | 4435 N 21st Pl, Phoenix, AZ 85016-5559 | 2019-05-09 |
| 1720553753 | Cynthia Marie Quinn | Case Manager/Care Coordinator | 301 W Jefferson St Ste 3200, Phoenix, AZ 85003-2143 | 2018-10-05 |
| 1013496199 | Uptown Medical LLC | Case Manager/Care Coordinator | 3724 N 3rd St Ste 300, Phoenix, AZ 85012-2036 | 2018-08-09 |
| 1518451251 | Advanced Behavioral Health Services, LLC | Case Manager/Care Coordinator | 9417 N 17th Pl, Phoenix, AZ 85020-2310 | 2018-06-17 |
| 1255835997 | Miracle On 29th Street | Case Manager/Care Coordinator | 18210 N 29th St, Phoenix, AZ 85032-1103 | 2018-03-19 |
| 1538662077 | Maryvale Medical LLC | Case Manager/Care Coordinator | 7141 W Thomas Rd Ste 101, Phoenix, AZ 85033-5518 | 2018-03-12 |
| 1265930614 | Desert Ridge Medical LLC | Case Manager/Care Coordinator | 26224 N Tatum Blvd Ste 11, Phoenix, AZ 85050-7500 | 2018-01-30 |
| 1477098671 | Joyce Ann Leflore | Case Manager/Care Coordinator | 4424 E Baseline Rd Apt 1144, Phoenix, AZ 85042-7410 | 2016-12-23 |
| 1003213075 | Kayesha Marcelle Mckinney | Case Manager/Care Coordinator | 9428 W Highland Ave, Phoenix, AZ 85037-1015 | 2014-11-19 |
| Find all providers in PHOENIX | ||||
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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.