MRS. CAROLYN WANYAMA (NPI# 1871029090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871029090 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN WANYAMA |
| Practice Address |
44880 W Portabello Road Maricopa AZ 85139 |
| Practice Telephone | 5204942626 |
| Mailing Telephone | 4803740486 |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | AL10166H | AZ | Nursing Service Related Providers |
| Street Address |
44880 W PORTABELLO ROAD |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778899 | Star House Bhrf LLC | Clinic/Center | 44796 W Sandhill Road, Maricopa, AZ 85139 | 2020-07-23 |
| 1578020988 | Dentistry At Maricopa, LLC | Dentist | 20046 N. John Wayne Pkwy, Ste 105, Maricopa, AZ 85139 | 2019-02-22 |
| 1043732431 | The Hands of Grace | Case Management | 44570 W Sedona Trl, Maricopa, AZ 85139 | 2017-07-07 |
| 1215466636 | Dustin Jeremy Sowards | Naturopath | 18495 N Miller Way, Maricopa, AZ 85139 | 2017-06-08 |
| 1740638758 | Melissa Marie Trulson | Dentist | 44481 W Honeycutt Rd, Suite 109, Maricopa, AZ 85139 | 2016-05-31 |
| 1093189805 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 | 2015-11-17 |
| 1134523079 | Shadale Gillespie | Technician | 45565 W. Rainbow Dr., Maricopa, AZ 85139 | 2014-10-21 |
| 1578964516 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 | 2014-09-09 |
| 1104238716 | Jared Kenney | Dentist | 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 | 2014-05-30 |
| 1972922763 | Linda Kay Phillips | Respiratory Therapist, Certified | 19372 N. Kari Ln, Maricopa, AZ 85139 | 2014-04-09 |
| Find all providers in zip 85139 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710598420 | Estrella of Cascadia LLC | Nursing Home Administrator | 2020 N 95th Ave, Phoenix, AZ 85037-4334 | 2020-08-14 |
| 1801404298 | Elaines Residential Home | Nursing Home Administrator | 521 S Williams Pl, Chandler, AZ 85225-6455 | 2020-07-21 |
| 1346867231 | Floraeden Yerkovich | Nursing Home Administrator | 2102 N Chestnut Cir, Mesa, AZ 85213-2216 | 2020-06-26 |
| 1558903088 | Emil Usvat | Nursing Home Administrator | 7878 E Vista Bonita Dr, Scottsdale, AZ 85255-4123 | 2019-10-16 |
| 1013570753 | Helen Dike | Nursing Home Administrator | 320 E Oak St, Globe, AZ 85501-2145 | 2019-04-18 |
| 1861985277 | Aniisha Sarkissian | Nursing Home Administrator | 2043 M Cave Creek, Phoenix, AZ 85067-3171 | 2018-06-11 |
| 1003359696 | Tammy Mirkazemi | Nursing Home Administrator | 13039 W Cheery Lynn Rd, Avondale, AZ 85392-6775 | 2016-11-30 |
| 1124561410 | Arketa Zambakari | Nursing Home Administrator | 4123 N 21st St, Phoenix, AZ 85016-6109 | 2016-11-18 |
| 1841742806 | Ladywinnie Amoo Oulanyah | Nursing Home Administrator | 3230 N Craycroft Rd Apt 1, Tucson, AZ 85712-5246 | 2016-10-25 |
| 1073996179 | Elsa E. Tesfasion | Nursing Home Administrator | 9003 W Charleston Ave, Peoria, AZ 85382-8106 | 2015-07-07 |
| 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.