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NPI 1881242394

NPI 1881242394 : WHISPERING SHADOW CARE LLC : SHONTO, AZ

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General NPI Number Information
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    NPI Number           |    1881242394
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHISPERING SHADOW CARE LLC 
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Dates
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    Enumeration Date     |    08/28/2019
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    Last Update Date     |    03/10/2022
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Provider Practice Location Address
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    Address Line         |    HWY 98 RTE 6320 MP1 
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    City                 |    SHONTO
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    State                |    AZ
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    Zip                  |    86054
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    Country              |    US
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    Telephone            |    888-242-6840
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    Fax                  |    888-914-0714
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7452 
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    City                 |    SHONTO
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    State                |    AZ
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    Zip                  |    86054-7452
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    Country              |    US
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    Telephone            |    888-242-6840
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    Fax                  |    888-809-1637
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. MAEBELLE  CURTIS 
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    Credential           |    
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    Telephone            |    928-409-8939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0401X
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    Taxonomy Name        |    Comprehensive Outpatient Rehabilitation Facility (CORF)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    253J00000X
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    Taxonomy Name        |    Foster Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    261QD1600X
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    Taxonomy Name        |    Developmental Disabilities Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    342000000X
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    Taxonomy Name        |    Transportation Network Company
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    347E00000X
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    Taxonomy Name        |    Transportation Broker
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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