Individual provider · NPI-1
Shantoya N Thomas
Community Health Worker · Glendale, AZ
NPI number1013527571
StatusActive
Last updated in NPPESAug 8, 2020
Details
- NPI
- 1013527571
- Entity type
- Individual (NPI-1)
- Name
- Shantoya N Thomas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2020
- Certification date
- Aug 8, 2020
- Last updated
- Aug 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
4331 W Bell RdGlendale, AZ 85308-3529
Phone 602-380-9146
Mailing address
Po Box 2632Litchfield Park, AZ 85340-2632
Phone 602-380-9146
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