MR. DENNIS J TAN (NPI# 1932627494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932627494 |
| Entity Type | Individual |
| Full Name | MR. DENNIS J TAN |
| Practice Address |
6979 W Cactus Wren Dr Glendale AZ 85303-2684 |
| Practice Telephone | (623) 915-5491 |
| Practice Fax Number | 6239155491 |
| Mailing Telephone | 6239155491 |
| Mailing Fax Number | 6239155491 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL9624H | AZ | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457577983 | Dennis Chan Tan | Obstetrics & Gynecology | 9300 Se 91st Ave, Suite 300, Happy Valley, OR 97086-3749 | 2007-04-17 |
| Street Address |
6979 W CACTUS WREN DR |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85303-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962050138 | Karina Navarrete | Specialist/Technologist | 7418 W. Fleetwood Ln, Glendale, AZ 85303 | 2019-08-29 |
| 1043733280 | Ainsley P. Vergara | Speech-Language Pathologist | 7355 W Orangewood Ave, Glendale, AZ 85303 | 2017-07-19 |
| 1043688492 | Karina Sosa | Specialist/Technologist | 7829 W San Miguel Avenue, Glendale, AZ 85303 | 2015-09-02 |
| 1437546462 | Westwind Dental Glendale, Pllc | Dentist | 6740 W Camelback Road, Glendale, AZ 85303 | 2015-04-16 |
| 1336498906 | Revival Home Care | Assisted Living Facility | 8269 W State Ave, Glendale, AZ 85303 | 2012-08-29 |
| 1700153707 | Habiitation and Independant Living Inc | Nursing Care | 7304 N 82nd Ave, Glendale, AZ 85303 | 2011-11-19 |
| 1225160658 | Kristy Beth Malecki | Speech-Language Pathologist | 7355 W Orangewood, Desert Spirit School, Glendale, AZ 85303 | 2007-03-12 |
| 1104980325 | Sharon Yvonne Thompson | Technician | 7384 W Colter St, Glendale, AZ 85303 | 2006-12-21 |
| 1447772264 | Bob Kabamba | Behavior Technician | 7136 N 73rd Dr, Gendale, AZ 85303 | 2017-07-13 |
| 1427420504 | Quick Med Center LLC | Family Medicine | 5104 N 67th Ave, Glendale, AZ 85303 | 2015-10-28 |
| Find all providers in zip 85303 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228316 | Unique Family To Family Adult Care Home, LLC | Assisted Living Facility | 6981 W Villa Hermosa, Glendale, AZ 85310-5855 | 2020-09-03 |
| 1225673759 | Trinity Assisted Living | Assisted Living Facility | 4541 W Paradise Ln, Glendale, AZ 85306-2729 | 2019-11-07 |
| 1952954489 | Jubilee In The Desert, LLC | Assisted Living Facility | 4321 W Cholla St, Glendale, AZ 85304-3531 | 2019-07-23 |
| 1962054536 | Vema Corporation | Assisted Living Facility | 4802 W Gelding Dr, Glendale, AZ 85306-4438 | 2019-07-12 |
| 1013487180 | Ludovica Rodica Malutan | Assisted Living Facility | 5019 W Paradise Ln, Glendale, AZ 85306-2655 | 2018-11-30 |
| 1144790601 | Terra Pointe Care, LLC | Assisted Living Facility | 5330 W Union Hills Dr, Glendale, AZ 85308-1311 | 2018-11-27 |
| 1316433493 | Andrei Martin | Assisted Living Facility | 6338 W Port Royale Ln, Glendale, AZ 85306-3260 | 2018-07-02 |
| 1841782638 | Goldwater Legacy Assisted Living LLC | Assisted Living Facility | 6640 W Pinnacle Peak Rd, Glendale, AZ 85310-3409 | 2018-06-06 |
| 1568984037 | Angels Paradise Care Home 2, LLC | Assisted Living Facility | 5582 W Becker Ln, Glendale, AZ 85304-3866 | 2017-07-17 |
| 1093254435 | Los Feliz Residential Care Center Inc. | Assisted Living Facility | 205 E Los Feliz Rd, Glendale, CA 91205-3118 | 2017-02-17 |
| Find all providers in GLENDALE | ||||
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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.