ROSSANA R. BARRETTO (NPI# 1861093783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861093783 |
| Entity Type | Individual |
| Full Name | ROSSANA R. BARRETTO |
| Credential | LPN |
| Practice Address |
16948 W Magnolia St Goodyear AZ 85338-7428 |
| Practice Telephone | 6233360262 |
| Practice Fax Number | 6235948895 |
| Mailing Telephone | 6233360262 |
| Mailing Fax Number | 6235948895 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| 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 |
AL11534H | AZ | Nursing & Custodial Care Facilities |
| Street Address |
16948 W MAGNOLIA ST |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-7428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| 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 |
|---|---|---|---|---|
| 1730744889 | Golden Age Assisted Living,llc | Custodial Care Facility | 17176 W Watkins St, Goodyear, AZ 85338-1718 | 2019-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051508 | Lifes Journey LLC | Custodial Care Facility | 7591 N 85th Dr, Glendale, AZ 85305-3982 | 2020-10-20 |
| 1134736820 | Bernadette Tolentino Reyes | Custodial Care Facility | 2406 S Pecan Dr, Chandler, AZ 85286-7406 | 2020-09-26 |
| 1417567371 | Zaweah Luxury Living LLC | Custodial Care Facility | 9129 S 48th Dr, Laveen, AZ 85339-2242 | 2020-08-05 |
| 1932725835 | Oasis Group Home LLC | Custodial Care Facility | 2206 W. Spur Dr., Phoenix, AZ 85085-5752 | 2020-06-17 |
| 1821618679 | Klara's II Adult Care Home | Custodial Care Facility | 2974 E Pony Ct, Gilbert, AZ 85295-3775 | 2020-04-22 |
| 1932728581 | Michael Ford | Custodial Care Facility | 10462 E Abilene Ave, Mesa, AZ 85208-8717 | 2020-04-14 |
| 1588297006 | Marley Adult Healthcare LLC | Custodial Care Facility | 14798 W Georgia Dr, Surprise, AZ 85379-4243 | 2020-02-13 |
| 1841837499 | Gemini Group, LLC | Custodial Care Facility | 5045 E Paradise Ln, Scottsdale, AZ 85254-1045 | 2019-12-03 |
| 1457997744 | Dream Street Care LLC | Custodial Care Facility | 37412 N Dream Street, Carefree, AZ 85377 | 2019-11-21 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
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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.