HOPE BEHAVIORAL HEALTH RESIDENTIAL CARE (NPI# 1386008076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386008076 |
| Entity Type | Organization |
| Organization Name | HOPE BEHAVIORAL HEALTH RESIDENTIAL CARE |
| Practice Address |
15985 W.williams Street Goodyear AZ 85338 |
| Mailing Address |
15985 W Williams St Goodyear AZ 85338-9433 |
| Practice Telephone | 6239252515 |
| Mailing Telephone | 6239252515 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Authorized Official Name | CHRISTOPHER ODETOYE (OWNER) |
| Authorized Official Telephone | 6239258606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BH4881 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561176 | Hope Behavioral Health Residential Care | Assisted Living Facility | 17547 W Desert Bloom St, Goodyear, AZ 85338-4713 | 2019-04-23 |
| 1063837243 | Hope Behavioral Health Residential Care | Psychologist | 22981 W Hopi St, Buckeye, AZ 85326-8614 | 2014-02-25 |
| Street Address |
15985 W.WILLIAMS STREET |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338 |
| 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 |
| 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 |
| 1891005492 | Glenda Sullivan | Respite Care | 10710 S. Morningside Dr, Goodyear, AZ 85338 | 2010-10-15 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386107522 | Joyful Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 16274 W Superior Ave, Goodyear, AZ 85338-3535 | 2019-04-12 |
| 1245602044 | Charles Residential Care LLC | Substance Abuse Rehabilitation Facility | 15813 W Monroe St, Goodyear, AZ 85338-6896 | 2015-10-20 |
| 1356843544 | Divine Assurance Behavioral Health Residentail Care LLC | Substance Abuse Rehabilitation Facility | 16040 W Vogel Ave, Goodyear, AZ 85338-3571 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073920 | Tusa Mental Health Services LLC | Substance Abuse Rehabilitation Facility | 11570 East Cornville Road, Cornville, AZ 86325 | 2020-11-03 |
| 1578170999 | Arizona Center for Recovery- A New Direction | Substance Abuse Rehabilitation Facility | 5331 N Sundown Dr, Tucson, AZ 85718-5515 | 2020-09-29 |
| 1427663947 | Summit Bhc Tuscon, LLC | Substance Abuse Rehabilitation Facility | 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 | 2020-09-11 |
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1932726361 | Northstar Homecare LLC | Substance Abuse Rehabilitation Facility | 5239 S 33rd Dr, Phoenix, AZ 85041-7411 | 2020-07-01 |
| 1891312542 | Semper Fidelis Behavioral Health Care, LLC | Substance Abuse Rehabilitation Facility | 8020 N 17th Dr, Phoenix, AZ 85021-5217 | 2020-06-29 |
| 1558988246 | Cmj Recovery Az LLC | Substance Abuse Rehabilitation Facility | 4122 N 17th St Bldg A, Phoenix, AZ 85016-5922 | 2020-06-29 |
| 1780201772 | Pinnacle Peak Recovery, LLC | Substance Abuse Rehabilitation Facility | 8070 E Morgan Trl Ste 125, Scottsdale, AZ 85258-1228 | 2020-06-25 |
| 1629692025 | A Home 4 U Transitional Housing | Substance Abuse Rehabilitation Facility | 18474 E Kingbird Dr, Queen Creek, AZ 85142-5118 | 2020-06-01 |
| 1568085215 | Scottsdale Recovery II, LLC | Substance Abuse Rehabilitation Facility | 10227 N Scottsdale Road, Scottsdale, AZ 85253-8526 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HOPE BEHAVIORAL HEALTH RESIDENTIAL CARE.
| 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.