ARIZONA BEHAVIORAL CARE HOMES LLC (NPI# 1275971632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275971632 |
| Entity Type | Organization |
| Organization Name | ARIZONA BEHAVIORAL CARE HOMES LLC |
| Practice Address |
560 N 159th Ln Goodyear AZ 85338-3276 |
| Mailing Address |
4645 S Lakeshore Dr Ste 3 Tempe AZ 85282-7152 |
| Practice Telephone | 6029042772 |
| Mailing Telephone | 4808401601 |
| Mailing Fax Number | 4808401613 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | ROBERT CRAWFORD BREEDLOVE (CEO) |
| Authorized Official Telephone | 4808401601 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH4271 | AZ | 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 |
| 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 |
| 1033684683 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1314 E Orange St, Tempe, AZ 85281-4327 | 2018-10-10 |
| Street Address |
560 N 159TH LN |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124685300 | Affinity Behavioral Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 560 N 159th Ln, Goodyear, AZ 85338-3276 | 2019-05-23 |
| 1659719995 | Arizona Behavioral Care Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 560 N 159th Ln, Goodyear, AZ 85338-3276 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| 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 |
|---|---|---|---|---|
| 1871008219 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 4349 N 161st Ave, Goodyear, AZ 85395-6439 | 2017-12-07 |
| 1538672076 | Martha's Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 14256 W Fairmount Ave, Goodyear, AZ 85395-8428 | 2017-11-07 |
| 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 |
| 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 |
| 1013141407 | Successful Journeys, LLC | Community Based Residential Treatment Facility, Mental Illness | 4434 N 153rd Ln, Goodyear, AZ 85395-6302 | 2009-05-13 |
| 1124685300 | Affinity Behavioral Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 560 N 159th Ln, Goodyear, AZ 85338-3276 | 2019-05-23 |
| 1255998654 | Affinity Behavioral Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 16800 W Roosevelt St, Goodyear, AZ 85338-7037 | 2019-05-22 |
| 1518524917 | Affinity Behavioral Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 1946 S 174th Ln, Goodyear, AZ 85338-1924 | 2019-05-22 |
| Find all providers in GOODYEAR | ||||
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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.