REIGNING GRACE RANCH (NPI# 1285132423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285132423 |
| Entity Type | Organization |
| Organization Name | REIGNING GRACE RANCH |
| Practice Address |
28614 N 172nd Street Rio Verde AZ 85263 |
| Mailing Address |
28150 N Alma School Pkwy Ste 103-481 Scottsdale AZ 85262-8133 |
| Practice Telephone | 4804662154 |
| Mailing Telephone | 4804662154 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | MRS. AMANDA J MOORE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4804662154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 385HR2050X |
Respite Care Specialization: Respite Care Camp |
Respite Care Facility | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
28614 N 172ND STREET |
| City | RIO VERDE |
| State | AZ |
| Zip Code | 85263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801992813 | Karen Gale Phillips | Radiology | 17440 E Brushy Mountain Ct, Rio Verde, AZ 85263-5173 | 2006-09-16 |
| 1801350699 | Southern Oracle, LLC | Substance Abuse Rehabilitation Facility | 25005 N Puma Cir, Rio Verde, AZ 85263-7096 | 2019-01-25 |
| 1962733600 | Anasazi Denture Clinic, LLC | Exclusive Provider Organization | 18425 E Stirrup Ln, Rio Verde, AZ 85263-7114 | 2010-01-20 |
| 1649396912 | Christine M Kopsky | Dentist | 25609 N Danny Ln, Suite 2, Rio Verde, AZ 85263-8131 | 2007-03-21 |
| 1154795086 | Rio Verde Fire District | Ambulance | 25608 N Forest Rd, Rio Verde, AZ 85263-8136 | 2015-11-16 |
| 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 |
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
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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.