FRONTIER HOME HEALTH CARE SOBER LIVING OF ARIZONA , CORP


Address: 8604 N 43rd Dr, Glendale, AZ 85302-5317
Phone: 9072291575

FRONTIER HOME HEALTH CARE SOBER LIVING OF ARIZONA , CORP (NPI# 1184231953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184231953
Entity Type Organization
Organization Name FRONTIER HOME HEALTH CARE SOBER LIVING OF ARIZONA , CORP
Practice Address 8604 N 43rd Dr
Glendale
AZ 85302-5317
Mailing Address 504 E Hayward Ave
Phoenix
AZ 85020-4042
Practice Telephone 9072291575
Mailing Telephone 9072291575
Mailing Fax Number 8664137297
Enumeration Date 2020-09-25
Last Update Date 2020-09-25
Authorized Official Name MICHAEL ANTHONY BROWN (PRESIDENT/PROGRAM MANAGER)
Authorized Official Telephone 9072291575
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
FHHC Sober Living of Arizona Doing Business As Name - Organization

Office Location

Street Address 8604 N 43RD DR
City GLENDALE
State AZ
Zip Code 85302-5317

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1235736190 Tyler Davis LLC Psychologist 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 2020-10-05
1679098420 Sidney M Kingery Physical Therapist 5810 W Peoria Ave, Glendale, AZ 85302 2017-08-12
1255877825 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 5651 W. Harmont Dr, Glendale, AZ 85302 2017-01-06
1346696382 Megan Mari Byrne Chiropractor 8425 N 61st Dr., Glendale, AZ 85302 2016-05-09
1558742007 Farzan Mojgani Dentist 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 2015-06-10
1255757308 Glendale Modern Dentistry, LLP Dentist 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 2014-03-13
1518391341 Crystal Nicole-marie Whitman Physical Therapy Assistant 5411 W. Cinnabar Ave., Glendale, AZ 85302 2013-08-28
1013349570 A New Leaf Clinic/Center 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 2013-08-06
1255602439 Alicia S Fennemore Specialist/Technologist 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 2012-01-20
1639306731 Total Medical Care, LLC Clinic/Center 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 2009-06-16
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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952781247 Skylark Ach LLC Assisted Living Facility 12034 N 46th Ln, Glendale, AZ 85304-3012 2015-06-02
1164663498 Xanadu Assisted Living Facility 9030 N 64th Ave, Glendale, AZ 85302-4003 2009-03-17
1346364866 Camelia Igna Assisted Living Facility 6127 W Westwind Dr, Glendale, AZ 85310 2007-03-19
1720130404 Cindy Hicks Assisted Living Facility 4602 W Monte Cristo Ave, Glendale, AZ 85306-2724 2007-01-16
1841565256 Apollo Health Care, Inc. Assisted Living Facility 8322 W Oregon Ave, Glendale, AZ 85305-3302 2012-03-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174120703 Charite Home Assisted Living Facility 6057 S Avenida Caneca, Tucson, AZ 85706-5073 2020-10-06
1245847664 Young Life Al Inc. Assisted Living Facility 2334 W Rancho Dr, Phoenix, AZ 85015-2211 2020-09-29
1679180517 Trinity's House Assisted Living Facility 6692 E Via Boca Chica, Tucson, AZ 85756-8309 2020-09-24
1811526148 Phoenix Comfort Homes LLC Assisted Living Facility 17643 N 17th St, Phoenix, AZ 85022-2113 2020-04-07
1508493016 Good Care Network LLC Assisted Living Facility 4775 E Kristen Dr, Prescott, AZ 86301-5803 2020-03-25
1881229946 Famiglia Amore II LLC Assisted Living Facility 632 N. Wilmot, Tucson, AZ 85711 2020-03-10
1669002168 Better Horizons Behavioral Health LLC Assisted Living Facility 1136 W Fever Tree Ave, San Tan Valley, AZ 85140-7682 2020-01-23
1225697386 Alpine Villa LLC Assisted Living Facility 2144 W Luke Ave, Phoenix, AZ 85015-2319 2019-06-11
1225510118 Adagio Luxury 4 LLC Assisted Living Facility 1045 E Bethany Home Rd, Phoenix, AZ 85014-2229 2018-09-06
1033664081 Peggy Nyalita Assisted Living Facility 3532 W Boston St, Chandler, AZ 85226-3813 2016-08-19
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Competitor

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City GLENDALE
Zip Code 85302

Improve Information

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Dataset Information

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.

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