SANCTUARY (NPI# 1205391588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205391588 |
| Entity Type | Organization |
| Organization Name | SANCTUARY |
| Practice Address |
2550 E Rose Garden Ln # 73404 Phoenix AZ 85050 |
| Practice Telephone | 4802782315 |
| Mailing Telephone | 4802782315 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | TRACEY M. PARKER (CEO) |
| Authorized Official Telephone | 4802782315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Sanctuary-OGA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891048062 | Sanctuary | Case Management | 406 Maimai St, Chalan Pago, GU 96910-5669 | 2012-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Sanctuary | 5326 Corbett Dr., Fort Collins, CO 80528 |
| Washington State Corporations | SANCTUARY | 4000 Cedar St Po Box 596, Loon Lake, WA 99148 |
| Alabama Business Registrations | Sanctuary (Studio) Inc | |
| Oregon Corporations, Companies and Business Names | SANCTUARY - A PLACE OF REFUGE | 536 Corona Loop Road, C/o Pastor Jack Valvo Aka Jacob, Roseburg, OR 97471 |
| Oregon Corporations, Companies and Business Names | SANCTUARY 101 | 89855 Hwy 101, Florence, OR 97439 |
| New York State Corporations | SANCTUARY 1206 CORP. | 1206 Richmond Road, Staten Island, Ny 10304 |
| Colorado Business Entities | Sanctuary 30, LLC | 24790 Creek Ranch Road, Steamboat Springs, CO 80487 |
| Massachusetts Corporations | SANCTUARY 4298 INVESTMENTS, LLC | 647 Sanctuary Drive, Boca Raton, FL 33431 |
| Indiana Business Entities | SANCTUARY 7 SALON & SUITES LLC | 28 W. 76th Avenue, Merrillville, IN 46410 |
| New York State Corporations | SANCTUARY 78 LLC | 3227 Mickle Ave, Ste. B, Bronx, New York 10469 |
| Street Address |
2550 E ROSE GARDEN LN, # 73404 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| 1629318811 | Steven Gitt Md PC | Clinic/Center | 20950 North Tatum Boulevard, Suite 150, Phoenix, AZ 85050 | 2013-02-25 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
| 1952901332 | Jennifer Barreras | Counselor | 1818 E Burgess Ln, Phoenix, AZ 85042-4518 | 2020-10-27 |
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1174135487 | Kelli Randon | Counselor | 14040 N Cave Creek Rd Ste 207, Phoenix, AZ 85022-6179 | 2020-08-18 |
| 1891307328 | Empire Health and Therapy LLC | Counselor | 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 | 2020-08-17 |
| 1043821747 | Annette M Callahan | Counselor | 3229 E Briarwood Ter, Phoenix, AZ 85048-7843 | 2020-08-14 |
| 1528679032 | Apex Rising Community Services LLC | Counselor | 4150 W Peoria Ave Ste 220, Phoenix, AZ 85029-3956 | 2020-08-10 |
| 1780293654 | Mitsrain's House of Hope LLC | Counselor | 5744 N 41st Ave, Phoenix, AZ 85019-1814 | 2020-07-27 |
| 1740898378 | Samantha Cheyenne-dahl Moss | Counselor | 3519 E Shea Blvd Ste 138, Phoenix, AZ 85028-3349 | 2020-07-20 |
| 1083231856 | Amber Taylor | Counselor | 21640 N 19th Ave, Phoenix, AZ 85027-2720 | 2020-06-28 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on SANCTUARY.
| 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.