SOUTHWEST NETWORK (NPI# 1124275953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124275953 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST NETWORK |
| Practice Address |
9051 W Kelton Ln Suite 13 Peoria AZ 85382-3533 |
| Mailing Address |
2700 N Central Ave Suite 1050 Phoenix AZ 85004-1133 |
| Practice Telephone | 6238155700 |
| Practice Fax Number | 6238155759 |
| Mailing Telephone | 6022668402 |
| Mailing Fax Number | 6022640887 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MS. AMY B. HENNING (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6022854340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | OTC6188 | AZ | Agencies |
| Y | 251S00000X | Community/Behavioral Health | OTC6188 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PTAN | Z127516 | 01 |
| AZ | 425250 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487981338 | Southwest Network | Case Management | 1465 W Chandler Blvd, Bldg A, Chandler, AZ 85224-6237 | 2009-11-13 |
| 1235393240 | Southwest Network | Case Management | 3140 N Arizona Ave, Suite 113, Chandler, AZ 85225-7165 | 2008-07-18 |
| 1104856004 | Southwest Network | Case Management | 2444 E University Dr, Suite 150, Phoenix, AZ 85034-6911 | 2006-07-04 |
| 1538497912 | Southwest Network | Case Management | 460 N Mesa Dr, Suite 201, Mesa, AZ 85201-5973 | 2009-11-24 |
| 1063653921 | Southwest Network | Case Management | 2311 W Royal Palm Rd, Phoenix, AZ 85021-4916 | 2009-03-23 |
| 1952542078 | Southwest Network | Case Management | 3227 E Bell Rd, Suite 170, Phoenix, AZ 85032-2700 | 2009-03-19 |
| 1306097886 | Southwest Network | Case Management | 3640 W Osborn Rd, Suite 1, Phoenix, AZ 85019-4006 | 2008-10-02 |
| 1538310024 | Southwest Network | Case Management | 4707 N 12th St, Phoenix, AZ 85014-4009 | 2008-10-02 |
| 1912164039 | Southwest Network | Case Management | 1840 N 95th Ave Ste 132, Phoenix, AZ 85037-4445 | 2008-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWEST NETWORK | 2700 N Central Ave Ste 1050, Phoenix, AZ 85004-1217 |
| Street Address |
9051 W KELTON LN SUITE 13 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275821571 | Archana Sugumar | Psychiatry & Neurology | 9051 W Kelton Ln, Peoria, AZ 85382-3533 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1881209583 | Alpine Villa Group LLC | Community/Behavioral Health | 8845 W Potter Dr, Peoria, AZ 85382-6428 | 2020-09-10 |
| 1013556687 | Greystone House 2, LLC | Community/Behavioral Health | 27490 N Higuera Dr, Peoria, AZ 85383-4859 | 2019-12-31 |
| 1659921427 | Terpro LLC | Community/Behavioral Health | 8175 W Ludlow Dr Unit 222, Peoria, AZ 85381-4796 | 2019-09-13 |
| 1528614807 | Sage Counseling, Inc. | Community/Behavioral Health | 8805 W Union Hills Dr Ste 100, Peoria, AZ 85382-8153 | 2019-08-13 |
| 1336607613 | Angel Kids Academy LLC | Community/Behavioral Health | 8910 W Monroe St, Peoria, AZ 85345-6440 | 2019-03-06 |
| 1699269647 | Radu Marinescu | Community/Behavioral Health | 9140 W Hearn Rd, Peoria, AZ 85381-3790 | 2018-06-21 |
| 1740787753 | Pathway Youth and Family Services LLC | Community/Behavioral Health | 9794 W Peoria Ave Ste 13, Peoria, AZ 85345-6138 | 2018-04-07 |
| 1396262044 | Az Behavioral Health Services LLC | Community/Behavioral Health | 9791 W Butler Dr, Peoria, AZ 85345-3725 | 2017-08-24 |
| 1992163380 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 108 Sw Madison Ave, Peoria, IL 61602-1107 | 2016-02-01 |
| Find all providers in PEORIA | ||||
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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.