DENNIS TOLLIVER (NPI# 1760559132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760559132 |
| Entity Type | Individual |
| Full Name | DENNIS TOLLIVER |
| Other Name | LYNETTE TOLLIVER |
| Practice Address |
6821 W Maldonado Rd Laveen AZ 85339-2679 |
| Practice Telephone | 6026827584 |
| Mailing Telephone | 6026827584 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
3936 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 717697 | 01 |
| Street Address |
6821 W MALDONADO RD |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339-2679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| Find all providers in zip 85339 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508269499 | Jeanette Perry-brunson | Respite Care | 4515 W Coles Rd, Laveen, AZ 85339-2127 | 2014-10-06 |
| 1518383397 | Shalonda Cheatham | Respite Care | 6834 W Darrel Rd, Laveen, AZ 85339-2671 | 2014-03-17 |
| 1194155770 | Sharnnet Ezell | Respite Care | 6827 W Nancy Ln, Laveen, AZ 85339-2658 | 2013-11-19 |
| 1326484452 | Andrew Glenn Wright | Respite Care | 5610 W Carson Rd, Laveen, AZ 85339-2272 | 2013-05-15 |
| 1922361567 | Lindsay Beckstrom Pauni | Respite Care | 6341 W Valencia Dr, Laveen, AZ 85339-2776 | 2012-06-19 |
| 1548491384 | Barbara Colbert | Respite Care | 7113 S 68th Ave, Laveen, AZ 85339-5067 | 2009-07-28 |
| 1821250226 | Tanya Johnson | Respite Care | 6824 S 68th Dr, Laveen, AZ 85339-5013 | 2008-06-26 |
| 1417174665 | Natalie O'banner -gregory | Respite Care | 5309 S 51st Dr, Laveen, AZ 85339-1910 | 2007-04-19 |
| 1558407601 | Ursula Settles | Respite Care | 5608 S 55th Ln, Laveen, AZ 85339-1524 | 2007-01-29 |
| 1487721049 | Alphonso Taylor | Respite Care | 8528 S 49th Ln, Laveen, AZ 85339-2161 | 2006-11-29 |
| Find all providers in LAVEEN | ||||
Please comment or provide details below to improve the information on DENNIS TOLLIVER.
| 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.