ARIZONA BEHAVIORAL CARE HOMES LLC (NPI# 1114492766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114492766 |
| Entity Type | Organization |
| Organization Name | ARIZONA BEHAVIORAL CARE HOMES LLC |
| Practice Address |
613 W Devon Ct Gilbert AZ 85233-8029 |
| Mailing Address |
4645 S Lakeshore Dr Ste 3 Tempe AZ 85282-7152 |
| Practice Telephone | 4808401601 |
| Practice Fax Number | 4808401613 |
| Mailing Telephone | 4808401601 |
| Mailing Fax Number | 4808401613 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | ROBERT CRAWFORD BREEDLOVE (CEO) |
| Authorized Official Telephone | 4808401601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 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 |
| 1114272416 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 N Ridge Cir, Mesa, AZ 85203-5129 | 2012-07-23 |
| 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 |
| Street Address |
613 W DEVON CT |
| City | GILBERT |
| State | AZ |
| Zip Code | 85233-8029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982087334 | Horizon Care Homes Frances, LLC | Psychiatric Residential Treatment Facility | 613 W Devon Ct, Gilbert, AZ 85233-8029 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063594 | Specialized Education of Arizona, Inc. | Day Training, Developmentally Disabled Services | 875 S. Coooper Rd., Gilbert, AZ 85233 | 2020-08-12 |
| 1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
| 1235656356 | Jason Karstens | Physical Therapist | 1447 West Elliot Road, Suite 101, Gilbert, AZ 85233 | 2017-08-29 |
| 1538684956 | Independent By Design, Pllc | Occupational Therapy Assistant | 835 W Warner Rd Suite 101 - 623, Gilbert, AZ 85233 | 2017-08-07 |
| 1619406998 | Marri Keller | Physical Therapist | 690 Copper Rd, Suite 101, Gilbert, AZ 85233 | 2017-06-08 |
| 1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
| 1922544634 | Riann Naomi Simmons | Nurse Practitioner | 800 W Elliot Road, Suite 103, Gilbert, AZ 85233 | 2017-01-19 |
| 1154793685 | Laura Beth Masters | Nurse Practitioner | Shelley Staymates, 890 W Elliott #120, Gilbert, AZ 85233 | 2015-10-23 |
| Find all providers in zip 85233 | ||||
| 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 |
|---|---|---|---|---|
| 1689284531 | Brain Solutions Pllc | Community Based Residential Treatment Facility, Mental Illness | 4555 S Maverick Ct, Gilbert, AZ 85297-9532 | 2020-08-05 |
| 1295353019 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 | 2020-07-08 |
| 1487295671 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 3447 E Dublin St, Gilbert, AZ 85295-3509 | 2019-09-30 |
| 1336605989 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 1101 E Goldcrest St, Gilbert, AZ 85297-3128 | 2019-02-19 |
| 1699239160 | Saida Mohamed | Community Based Residential Treatment Facility, Mental Illness | 3722 E Orchid Ct, Gilbert, AZ 85296-8268 | 2019-01-29 |
| 1679092506 | Eureka Imperial Residence 3 | Community Based Residential Treatment Facility, Mental Illness | 1080 E Clifton Ave, Gilbert, AZ 85295-1135 | 2017-09-12 |
| 1912424698 | Richlin Regal Residency | Community Based Residential Treatment Facility, Mental Illness | 2864 E Bellerive Dr, Gilbert, AZ 85298-1001 | 2017-08-24 |
| 1265880090 | Richlin Regal Residency | Community Based Residential Treatment Facility, Mental Illness | 7872 S Abbey Ln, Gilbert, AZ 85298-7449 | 2016-06-02 |
| 1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
| 1932555810 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3800 E Lafayette Ave, Gilbert, AZ 85298-9130 | 2016-05-10 |
| Find all providers in GILBERT | ||||
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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.