CERAINA HULL (NPI# 1952955254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952955254 |
| Entity Type | Individual |
| Full Name | CERAINA HULL |
| Practice Address |
8430 E Keats Ave Mesa AZ 85209-4345 |
| Practice Telephone | 4805840304 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
4498478 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ DEPT OF HEALTH SERVICES | 4498478 | 01 |
| Street Address |
8430 E KEATS AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85209-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| 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 |
|---|---|---|---|---|
| 1912423732 | Red Mountain Behavioral Health Services | Respite Care | 10634 E Posada Ave, Mesa, AZ 85212-1872 | 2017-08-15 |
| 1265859235 | Red Mountain Behavioral Health Services, LLC | Respite Care | 8448 E Lindner Ave, Mesa, AZ 85209-4369 | 2014-03-27 |
| 1568887016 | Red Mountain Behavioral Health Services, LLC | Respite Care | 11231 E. Segura, Mesa, AZ 85212-2427 | 2014-02-20 |
| 1982045654 | Anne Ngigi | Respite Care | 3139 S 82nd Cir, Mesa, AZ 85212-1670 | 2013-07-10 |
| 1740523687 | Red Mountain Behavioral Health Services | Respite Care | 1024 N Arvada, Mesa, AZ 85205-5433 | 2013-03-28 |
| 1104176536 | Zarephath Inc. | Respite Care | 9310 E Princess Dr, Mesa, AZ 85207-4315 | 2012-09-13 |
| 1588914915 | Zarephath Inc. | Respite Care | 11358 E Sonrisa Ave, Mesa, AZ 85212-7077 | 2012-09-13 |
| 1376875930 | Linda Delgardo | Respite Care | 9431 E Coralbell Ave, Mesa, AZ 85208-5801 | 2010-02-08 |
| 1679700272 | Kathy M Siebert Hay | Respite Care | 9065 E Hobart St, Mesa, AZ 85207-4248 | 2009-06-22 |
| 1750515359 | Zarephath Inc. | Respite Care | 7247 E Milagro Ave, Mesa, AZ 85209-4963 | 2009-05-11 |
| Find all providers in MESA | ||||
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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.