ARIZONA BEHAVIORAL CARE HOMES LLC (NPI# 1114272416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114272416 |
| Entity Type | Organization |
| Organization Name | ARIZONA BEHAVIORAL CARE HOMES LLC |
| Practice Address |
1024 N Ridge Cir Mesa AZ 85203-5129 |
| Mailing Address |
4645 S Lakeshore Dr Ste 3 Tempe AZ 85282-7152 |
| Practice Telephone | 4803324281 |
| Practice Fax Number | 4803065732 |
| Mailing Telephone | 4808401601 |
| Mailing Fax Number | 4808401613 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | ROBERT CRAWFORD BREEDLOVE (CEO) |
| Authorized Official Telephone | 4808401601 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH4067 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871008219 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 4349 N 161st Ave, Goodyear, AZ 85395-6439 | 2017-12-07 |
| 1619342201 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1101 E. Goldcrest St, Gilbert, AZ 85297 | 2015-12-08 |
| 1265825418 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16781 W Hilton Ave, Goodyear, AZ 85338-7402 | 2015-03-12 |
| 1578955886 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1946 S 174th Ln, Goodyear, AZ 85338-1924 | 2015-02-23 |
| 1275971632 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 560 N 159th Ln, Goodyear, AZ 85338-3276 | 2013-06-07 |
| 1366710535 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16800 W Roosevelt St, Goodyear, AZ 85338-7037 | 2011-12-02 |
| 1528360898 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16575 W Roosevelt St, Goodyear, AZ 85338-6192 | 2010-11-18 |
| 1508182130 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 230 E Frances Ln, Gilbert, AZ 85295-1975 | 2010-04-07 |
| 1518192046 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 7030 S Star Dr, Gilbert, AZ 85298-4126 | 2009-05-28 |
| 1033684683 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1314 E Orange St, Tempe, AZ 85281-4327 | 2018-10-10 |
| Street Address |
1024 N RIDGE CIR |
| City | MESA |
| State | AZ |
| Zip Code | 85203-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962968511 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 N Ridge Cir, Mesa, AZ 85203-5129 | 2019-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835968 | Jfox II LLC | Community Based Residential Treatment Facility, Mental Illness | 5327 E Enrose Cir, Mesa, AZ 85205-5489 | 2020-09-09 |
| 1356987119 | Healthy Minds of Arizona | Community Based Residential Treatment Facility, Mental Illness | 2735 E Main St Ste 1, Mesa, AZ 85213-9269 | 2019-11-26 |
| 1174166136 | Harmony Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 2726 S Los Altos, Mesa, AZ 85202-7326 | 2019-10-22 |
| 1700445657 | The Nile Health Network | Community Based Residential Treatment Facility, Mental Illness | 1367 S Country Club Dr Unit 1011, Mesa, AZ 85210-5155 | 2019-06-12 |
| 1780177535 | Legacy Senior Management LLC | Community Based Residential Treatment Facility, Mental Illness | 152 N 56th St Ste B, Mesa, AZ 85205-8718 | 2018-06-07 |
| 1003344367 | Ptl Behavioral Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 10839 E Sonrisa Ave, Mesa, AZ 85212-5126 | 2017-05-31 |
| 1811322795 | Pavillion | Community Based Residential Treatment Facility, Mental Illness | 963 E 9th Pl, Mesa, AZ 85203-5623 | 2013-09-10 |
| 1992911226 | Marc Community Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6433 E Quartz St, Mesa, AZ 85215-0948 | 2007-05-15 |
| 1215143540 | Marc Community Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2664 E Hermosa Vista Dr, Mesa, AZ 85213-2306 | 2007-05-15 |
| 1700092202 | Marc Community Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4151 E Alder Ave, Mesa, AZ 85206 | 2007-05-14 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.