Camelia Igna

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

BH2440 Issued in AZ

Practice address

6127 W Westwind Dr
Glendale, AZ 85310

Phone

(623) 879-0168

Fax

(623) 879-0168

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Desert Winds Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
  • NPI 1467699777
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346364866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 W WESTWIND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85310",
            "telephone_number": "623-879-0168",
            "fax_number": "623-879-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 W WESTWIND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85310",
            "telephone_number": "623-879-0168",
            "fax_number": "623-879-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNA",
        "first_name": "CAMELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "BH2440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "869828",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Icare Family Health Services LLC
• Icare Health Services LLC
• Julia B Idemudia, NP-C
• Idris A Idris, NP
• Roberta Susan Ierley, PHARMD
• Celina Ikam
• Ikmd PLLC
• Laura Ilardo, LCSW
• Image Dentistry of Glendale, PC
• Elizabeth Imparato, LPC

• Assisted Living Facility (Mental Illness) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.