DEVERUEX (NPI# 1245682673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245682673 |
| Entity Type | Organization |
| Organization Name | DEVERUEX |
| Other Organization Name | ADULT FOSTER CARE PROVIDER |
| Practice Address |
22958 W Gardenia Dr Buckeye AZ 85326-6230 |
| Practice Telephone | 4804385338 |
| Mailing Telephone | 4804385338 |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2016-07-09 |
| Authorized Official Name | NICOLE MICHELLE CHAMBERS (ADULT FOSTER CARE) |
| Authorized Official Telephone | 4804385338 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ACCCHS | 1033425368 | 01 |
| Other Name | Type Code |
|---|---|
| Adult Foster Care Provider | Doing Business As Name - Organization |
| Street Address |
22958 W GARDENIA DR |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85326-6230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609225 | Dawn Vetro | Social Worker | 26428 Mc 85, Buckeye, AZ 85326 | 2020-05-06 |
| 1952959942 | Nicole Garcia | Physical Therapy Assistant | 19818 Mc 85, Buckeye, AZ 85326 | 2019-09-03 |
| 1790269256 | Pathbuilders Counseling Services, Inc | Marriage & Family Therapist | 1300 N. Miller Road, Buckeye, AZ 85326 | 2018-09-20 |
| 1912422924 | City of Buckeye | Emergency Medical Technician, Paramedic | 21699 W. Yuma Rd., Ste. 101, Buckeye, AZ 85326 | 2017-08-10 |
| 1548785884 | Az Comfort Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23832 W Tonto Street, Buckeye, AZ 85326 | 2017-08-08 |
| 1992227300 | Elias Linn IIi | Pharmacist | 1060 S. Watson Rd, Buckeye, AZ 85326 | 2017-07-07 |
| 1568903490 | Nicole Johnson | Nurse Practitioner | 26700 Az-85, Buckeye, AZ 85326 | 2017-03-10 |
| 1235675950 | Michael Coronado | Specialist/Technologist | 19584 W Lincoln St, Buckeye, AZ 85326 | 2017-01-19 |
| 1578914354 | Thrive Home Health Care LLC | Health Maintenance Organization | 25581 W. Pleasant Ln., Buckeye, AZ 85326 | 2016-06-23 |
| 1992187124 | Anita Morgan | Social Worker | 389 S 228th Lane, Buckeye, AZ 85326 | 2015-06-24 |
| Find all providers in zip 85326 | ||||
| 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 |
|---|---|---|---|---|
| 1871947994 | Successful Journeys, LLC | Community Based Residential Treatment Facility, Mental Illness | 20969 W Thomas Rd, Buckeye, AZ 85396-1645 | 2016-04-14 |
| 1780057323 | New Hope of Arizona, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1881 S 235th Dr, Buckeye, AZ 85326-3650 | 2015-11-04 |
| 1053701342 | New Hope of Arizona, Inc. | Community Based Residential Treatment Facility, Mental Illness | 21615 W Watkins St, Buckeye, AZ 85326-6562 | 2015-01-26 |
| 1962818187 | Martha's Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 22958 W Pima St, Buckeye, AZ 85326-8734 | 2014-07-08 |
| 1205465788 | Home of Purpose Empowerment | Community Based Residential Treatment Facility, Mental Illness | 30938 W Mitchell Dr, Buckeye, AZ 85396-6813 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598253 | Pinnacle Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 45369 W Horse Mesa Rd, Maricopa, AZ 85139-9128 | 2020-11-03 |
| 1649878687 | Ayobami Noheem Agoro | Community Based Residential Treatment Facility, Mental Illness | 12362 W Joblanca Rd, Avondale, AZ 85323-3130 | 2020-10-13 |
| 1235736018 | Happy Valley Community Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1106 E Cochise Dr, Phoenix, AZ 85020-1550 | 2020-10-05 |
| 1144835968 | Jfox II LLC | Community Based Residential Treatment Facility, Mental Illness | 5327 E Enrose Cir, Mesa, AZ 85205-5489 | 2020-09-09 |
| 1639782956 | Ascend Behavioral Health and Wellness,llc | Community Based Residential Treatment Facility, Mental Illness | 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 | 2020-08-26 |
| 1952913998 | Vema Corporation | Community Based Residential Treatment Facility, Mental Illness | 12701 N 79th Dr, Peoria, AZ 85381-9049 | 2020-08-20 |
| 1720698509 | Lyddia Getaweru | Community Based Residential Treatment Facility, Mental Illness | 2767 W Peggy Dr, Queen Creek, AZ 85142-6686 | 2020-08-05 |
| 1689284531 | Brain Solutions Pllc | Community Based Residential Treatment Facility, Mental Illness | 4555 S Maverick Ct, Gilbert, AZ 85297-9532 | 2020-08-05 |
| 1548879950 | C&j Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4418 W Darrel Rd, Laveen, AZ 85339-6222 | 2020-07-31 |
| 1295353019 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEVERUEX.
| 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.