Organization
S H I E L D FOUNDATION
Active
Organization
S H I E L D FOUNDATION
Active
Other names
SHIELD, SHIELD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON BENADO SMASCH (GEN. MANAGER, DIRECTOR)
(602) 432-6268
Entity
Organization
Contact information
Practice address
11225 N 28TH DR STE D220F, PHOENIX, AZ 85029-5697
(602) 432-6268
Mailing address
24 W CAMELBACK RD # 517, PHOENIX, AZ 85013-2529
(602) 432-6268
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
172V00000X
Community Health Worker
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089534
—
AZ
Enumeration date
08/05/2022
Last updated
07/08/2024
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