KRISTINA M. HARBOUR (NPI# 1992973796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992973796 |
Entity Type | Individual |
Full Name | KRISTINA M. HARBOUR |
Other Name | RIO S. HARBOUR |
Practice Address |
18042 W Morning Vista Ln Surprise AZ 85387-6377 |
Practice Telephone | 6027087105 |
Mailing Telephone | 6027087105 |
Enumeration Date | 2008-02-14 |
Last Update Date | 2008-02-14 |
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 |
455928 | AZ | Respite Care Facility |
Street Address |
18042 W MORNING VISTA LN |
City | SURPRISE |
State | AZ |
Zip Code | 85387-6377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821587361 | Zayden Transportation Services LLC | Private Vehicle | 16399 West Cielo Grande Avenue, Surprise, AZ 85387 | 2018-05-09 |
1225553985 | Elmer Place for Parents | Assisted Living Facility | 25968 N.sandstone Way, Surprise, AZ 85387 | 2017-08-03 |
1538563143 | About Seniors Assisted Living Home, LLC | Assisted Living Facility | 17343 W Bajada Dr, Surprise, AZ 85387-1002 | 2014-10-11 |
1457520470 | Quality Life Arrangements | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17303 W Buckhorn Trl, Surprise, AZ 85387-1016 | 2008-02-24 |
1619204039 | Richard Todd Stoneking | Respite Care | 17386 W Buckhorn Trl, Surprise, AZ 85387-1019 | 2009-11-05 |
1881919009 | Courtney Burnett | Specialist/Technologist | 17667 W Red Bird Rd, Surprise, AZ 85387-1032 | 2010-03-31 |
1508291873 | Trace Jahner | Speech-Language Pathologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2013-09-05 |
1689283319 | Madison Riddick | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-28 |
1790303527 | Jena Rose Anaya | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-08 |
1366074064 | Victoria Rivera | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-02-10 |
Find all providers in zip 85387 |
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 |
---|---|---|---|---|
1811483548 | Vanessa Samuels | Respite Care | 16224 N 154th Dr, Surprise, AZ 85374-7416 | 2018-07-05 |
1972964492 | Folake Akanbi | Respite Care | 15456 W Tasha Cir, Surprise, AZ 85374-1436 | 2016-03-10 |
1619204039 | Richard Todd Stoneking | Respite Care | 17386 W Buckhorn Trl, Surprise, AZ 85387-1019 | 2009-11-05 |
1417281395 | Tracy Dunbar | Respite Care | 18245 West Port Royale Ln., Surprise, AZ 85388 | 2009-09-25 |
1699900134 | Patricia Vargas | Respite Care | 15228 W Country Gables Dr, Surprise, AZ 85379-7024 | 2009-05-28 |
1548462948 | Timothy Robert Murray | Respite Care | 13427 W Paradise Ln, Surprise, AZ 85374-5466 | 2007-06-05 |
1679647614 | Gwendolyn Baker | Respite Care | 16640 W Rim Rock St, Surprise, AZ 85388-1193 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
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.