Active NPI
S H I E L D Foundation
- Voluntary or Charitable Agency
- Phoenix, AZ
National Provider Identifier
1629705033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- S H I E L D FOUNDATION
- Practice address
- 11225 N 28TH Dr Ste D220F
Phoenix, AZ 85029-5697 - Phone
- (602) 432-6268
- NPI assigned
- Aug 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Allison Benado Smasch
- Title
- Gen. Manager, Director
- Phone
- (602) 432-6268
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | |||
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Interpreter | 171R00000X | |||
| Community Health Worker | 172V00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
11225 N 28TH Dr Ste D220F
Phoenix, AZ 85029-5697
Mailing address
24 W Camelback Rd # 517
Phoenix, AZ 85013-2529
Phone (602) 432-6268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089534 | Medicaid | AZ |
Other names 1
- SHIELD
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shield2@hotmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
11225 N 28th Dr
Ste D220F
Phoenix, AZ 85029
Phone (602) 432-6268
24 W Camelback Rd
#517
Phoenix, AZ 85013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1629705033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 W CAMELBACK RD # 517",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850132529",
"telephone_number": "602-432-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11225 N 28TH DR STE D220F",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850295697",
"telephone_number": "602-432-6268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S H I E L D FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-05",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "BENADO SMASCH",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "GEN. MANAGER, DIRECTOR",
"authorized_official_telephone_number": "602-432-6268",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Personal Emergency Response Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Interpreter",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089534",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shield2@hotmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11225 N 28th Dr Ste D220F",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850295697",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "SHIELD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SHIELD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.