ENLIVEN SPECIALTY NURSING OF TEXAS, LLC (NPI# 1922585769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922585769 |
| Entity Type | Organization |
| Organization Name | ENLIVEN SPECIALTY NURSING OF TEXAS, LLC |
| Practice Address |
700 N Estrella Pkwy Ste 235 Goodyear AZ 85338-9332 |
| Mailing Address |
14122 W Mcdowell Rd Ste 105 Goodyear AZ 85395-2503 |
| Practice Telephone | 6234782797 |
| Mailing Telephone | 6234782797 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | DUSTIN CROWE (CHIEF NURSING OFFICER) |
| Authorized Official Telephone | 6025490714 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | ENLIVEN HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
700 N ESTRELLA PKWY STE 235 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-9332 |
| 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 | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488974 | Total Energy Workers Healthcare | Nursing Care | 2990 E Northern Ave Ste E100, Phoenix, AZ 85028-4841 | 2020-05-08 |
| 1790325934 | Tng Healthcare, LLC | Nursing Care | 4802 E Ray Rd Ste 23-586, Phoenix, AZ 85044-6405 | 2020-01-15 |
| 1831678721 | Community Bridges, Inc. | Nursing Care | 1520 E Pima St Ste 101, Phoenix, AZ 85034-4639 | 2018-08-10 |
| 1972099836 | Community Bridges, Inc. | Nursing Care | 2950 N Dodge Blvd Ste A, Tucson, AZ 85716-2012 | 2018-07-03 |
| 1700321650 | Ann Marie D'onofrio | Nursing Care | 2623 W Wayne Ln, Anthem, AZ 85086-4915 | 2017-01-02 |
| 1295283265 | Kai Varela | Nursing Care | 3330 W Hopi Pl, Benson, AZ 85602-7638 | 2016-09-19 |
| 1568810570 | Baldwin Care LLC | Nursing Care | 2066 E Buena Vista Dr, Chandler, AZ 85249-4602 | 2016-05-31 |
| 1952761561 | Caring Four Generations, LLC | Nursing Care | 5028 N 39th Ave, Phoenix, AZ 85019-2508 | 2016-02-25 |
| 1790141281 | Gracious Haven Healthcare LLC | Nursing Care | 3843 E Presidio Rd, Tucson, AZ 85716-1736 | 2016-01-13 |
| 1689081853 | Altruistixnursing Services, Inc | Nursing Care | 245 S Plumer Ave Ste 38, Tucson, AZ 85719-6349 | 2014-07-19 |
| 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.