FLERIDA CABATIC (NPI# 1750817763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750817763 |
Entity Type | Individual |
Full Name | FLERIDA CABATIC |
Credential | RN |
Practice Address |
27413 N 23rd Dr Phoenix AZ 85085-4708 |
Practice Telephone | 6235820113 |
Practice Fax Number | 6235160847 |
Mailing Telephone | 6235820113 |
Mailing Fax Number | 6235160847 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AL5762H | AZ | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 092108 | 05 |
Street Address |
27413 N 23RD DR |
City | PHOENIX |
State | AZ |
Zip Code | 85085-4708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
Find all providers in zip 85085 |
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 |
---|---|---|---|---|
1932725835 | Oasis Group Home LLC | Custodial Care Facility | 2206 W. Spur Dr., Phoenix, AZ 85085-5752 | 2020-06-17 |
1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
1124679931 | Lovin Touch LLC | Custodial Care Facility | 4130 W Northern Ave, Phoenix, AZ 85051-5765 | 2019-09-23 |
1164070819 | Love Shines Behavioral Health Homes LLC | Custodial Care Facility | 16401 N 39th Pl, Phoenix, AZ 85032-3246 | 2019-08-27 |
1386147262 | Desert View Assisted Living | Custodial Care Facility | 9401 N 36 Ave, Phoenix, AZ 85051-3305 | 2018-03-16 |
1699289215 | Desert Springs Care Home L.L.C. | Custodial Care Facility | 3445 W Acoma Dr, Phoenix, AZ 85053-5620 | 2017-11-17 |
1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
1447645833 | Az Advanced Care LLC | Custodial Care Facility | 3137 W Lane Ave, Phoenix, AZ 85051-6522 | 2015-04-02 |
1447643069 | Caring Haven Homes LLC | Custodial Care Facility | 420 W Sequoia Dr, Phoenix, AZ 85027-4727 | 2015-03-05 |
1346645702 | Rebecca Siddiqui | Custodial Care Facility | 4113 W Hayward Ave, Phoenix, AZ 85051-5751 | 2014-10-28 |
Find all providers in PHOENIX |
Please comment or provide details below to improve the information on FLERIDA CABATIC.
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.