Organization Active NPI

S H I E L D Foundation

  • Voluntary or Charitable Agency
  • Phoenix, AZ
National Provider Identifier
1629705033
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
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

Updated by the provider on Jul 8, 2024

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)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 146D00000X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
InterpreterGroup: 193200000X MULTI-SPECIALTY GROUP 171R00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Voluntary or Charitable Agency 251V00000X Primary
Early Intervention Provider Agency 252Y00000X
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
089534MedicaidAZ

Other names 1

  • SHIELD Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shield2@hotmail.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.