Shield
LBN: S H I E L D Foundation
Shield is an health care organization with primary practice located at 11225 N 28Th Dr Ste D220F , Phoenix AZ 85029-5697. The organization recently has 14 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Interpreter, Other Service Providers / Community Health Worker, Agencies / Voluntary or Charitable, Agencies / Early Intervention Provider Agency, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Other Service Providers / Prevention Professional. Agencies / Voluntary or Charitable is the primary health care specialty.
S H I E L D Foundation can be contacted via phone (602) 432-6268, or through Benado Smasch, Allison via phone (602) 432-6268.
Contact Information
Primary practice address
11225 N 28Th Dr Ste D220F
Phoenix AZ 85029-5697
Phone: (602) 432-6268
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Interpreter | 171R00000X | ||
Other Service Providers / Community Health Worker | 172V00000X | ||
Agencies / Voluntary or Charitable | 251V00000X | ||
Agencies / Early Intervention Provider Agency | 252Y00000X | ||
Nursing Service Related Providers / Chore Provider | 372500000X | ||
Nursing Service Related Providers / Adult Companion | 372600000X | ||
Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | ||
Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
Nursing Service Related Providers / Homemaker | 376J00000X | ||
Respite Care Facility / Respite Care | 385H00000X | ||
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | ||
Other Service Providers / Prevention Professional | 405300000X |
Profile Details
NPI number | 1629705033 |
---|---|
LBN Legal business name | S H I E L D Foundation |
DBA Doing business as | Shield |
Authorized official | Benado Smasch, Allison |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 5th, 2022 |
Last updated | Jul 8th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629705033 | NPPES |
Arizona | MEDICAID | 089534 |
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