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Heavenly Soles Pllc
Nursing Facility/Intermediate Care Facility in Surprise, Arizona
NPI 1114342169

Heavenly Soles Pllc is a Nursing Facility/Intermediate Care Facility based in Surprise, AZ. Heavenly Soles Pllc practices in Surprise, AZ. The NPI Number for Heavenly Soles Pllc is 1114342169 and holds a License No. 0711 (Arizona).

The current practice location address for Heavenly Soles Pllc is 13954 W Waddell Rd, Surprise, AZ and can be reached out via phone at 623-584-0760 and via fax at 623-546-0344. You can also correspond with Heavenly Soles Pllc through the mailing address at 13954 W WADDELL RD, SURPRISE, AZ - 85379-8750 (mailing address contact number: 623-584-0760).

Location: 13954 W Waddell Rd, Surprise, AZ, 85379-8750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114342169
Provider Name
Heavenly Soles Pllc
Credential
Provider Entity Type
Organization
Address
13954 W Waddell Rd, Surprise, AZ, 85379-8750
Phone Number
623-584-0760
Fax Number
623-546-0344
Provider Enumeration Date
02/27/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13954 W Waddell Rd
City
Surprise
State
Arizona
Zip
85379-8750
Phone Number
623-584-0760
Fax Number
623-546-0344
person
Provider Business Mailing Address Details
Address
13954 W Waddell Rd
City
Surprise
State
Arizona
Zip
85379-8750
Phone Number
623-584-0760
Fax Number
623-546-0344
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
0711 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
0711 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
0711 (Arizona)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
person
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Alzheimer Center (Dementia Center)
Speciality
-
Taxonomy
311500000X
License No.
0711 (Arizona)
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
person
Provider's Taxonomy Details 5
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
0711 (Arizona)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 6
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0711 (Arizona)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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