SOUTHWEST BEHAVIORAL HEALTH (NPI# 1346255908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346255908 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH |
| Practice Address |
4015 S 7th St Phoenix AZ 85040-1134 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 6022430049 |
| Practice Fax Number | 3022437291 |
| Mailing Telephone | 6022579339 |
| Mailing Fax Number | 6022658574 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFF JORDE (PRESIDENT / CEO) |
| Authorized Official Telephone | 6022854285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH-051 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 768228 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427165562 | Southwest Behavioral Health | Clinic/Center | 404 W Aero Dr, Payson, AZ 85541-5407 | 2006-08-24 |
| 1376550343 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 2042 N 35th Ave, Phoenix, AZ 85009-2353 | 2006-08-02 |
| 1588679948 | Southwest Behavioral Health | Clinic/Center | 206 N 4th St, Buckeye, AZ 85326-2404 | 2006-07-31 |
| 1023023603 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 7439 S 7th St, Phoenix, AZ 85042-5443 | 2006-07-30 |
| 1932114527 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | Hc 6 Box 1419, Payson, AZ 85541-9732 | 2006-07-30 |
| 1427063007 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 2313 W Yuma St, Phoenix, AZ 85009-6441 | 2006-07-30 |
| 1235144809 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 7626 E Sheridan St, Scottsdale, AZ 85257-1632 | 2006-07-30 |
| 1023449618 | Southwest Behavioral Health | Case Management | 170 E Altamira Dr, Cedar City, UT 84720-3509 | 2013-12-06 |
| 1659380780 | Southwest Behavioral Health | Psychiatric Residential Treatment Facility | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-08-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SOUTHWEST BEHAVIORAL HEALTH CARE, INC. | P O Box 657, 20 Nw 4th Street, Evansville, IN 47708 |
| System for Award Management (SAM) Entities | SOUTHWEST BEHAVIORAL HEALTH CENTER | 474 W 200 N, St George, UT 84770-4505 |
| Street Address |
4015 S 7TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
| 1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
| 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 |
|---|---|---|---|---|
| 1235736018 | Happy Valley Community Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1106 E Cochise Dr, Phoenix, AZ 85020-1550 | 2020-10-05 |
| 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 |
| 1588281604 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 1402 E Hoover Ave, Phoenix, AZ 85006-1737 | 2020-07-06 |
| 1174143846 | Alpine Villa LLC | Community Based Residential Treatment Facility, Mental Illness | 14414 N 29th St, Phoenix, AZ 85032-5004 | 2020-04-22 |
| 1346860657 | Semper Fidelis Behavioral Health & Counseling, LLC | Community Based Residential Treatment Facility, Mental Illness | 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 | 2020-04-16 |
| 1548889793 | Shea Home LLC | Community Based Residential Treatment Facility, Mental Illness | 10435 N 40th St, Phoenix, AZ 85028-4043 | 2020-04-08 |
| 1699394858 | Acome Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4509 E Acoma Dr, Phoenix, AZ 85032-4855 | 2020-04-08 |
| 1033748009 | Optimum Care of Arizona LLC | Community Based Residential Treatment Facility, Mental Illness | 717 E Harwell Rd, Phoenix, AZ 85042-6655 | 2020-04-02 |
| 1043846561 | Happy Haven Az LLC | Community Based Residential Treatment Facility, Mental Illness | 1110 W Hadley St, Phoenix, AZ 85007-3610 | 2020-03-16 |
| 1942835806 | Mercy Favor and Grace Social Services | Community Based Residential Treatment Facility, Mental Illness | 9431 W Sheridan St, Phoenix, AZ 85037-4435 | 2020-03-10 |
| Find all providers in PHOENIX | ||||
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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.