HOUSE OF HOPE BEHAVIORAL HEALTH LLC (NPI# 1396195939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396195939 |
| Entity Type | Organization |
| Organization Name | HOUSE OF HOPE BEHAVIORAL HEALTH LLC |
| Practice Address |
1149 E 11th St Casa Grande AZ 85122-3609 |
| Mailing Address |
1106 N Pinal Ave Casa Grande AZ 85122-3302 |
| Practice Telephone | 5204317750 |
| Mailing Telephone | 5204211120 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | MRS. FOLASAYO IYABODE OLADOKUN-DYBOWSKI (OWNER) |
| Authorized Official Telephone | 5204317750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH4846 | AZ | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH4017 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487108536 | House of Hope Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 406 W 11th St, Eloy, AZ 85131-1810 | 2016-08-06 |
| Street Address |
1149 E 11TH ST |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598025934 | House of Hope | Community Based Residential Treatment Facility, Mental Illness | 1149 E 11th St, Casa Grande, AZ 85122-3609 | 2012-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| 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 |
|---|---|---|---|---|
| 1073158846 | Kewala Corporations | Community Based Residential Treatment Facility, Mental Illness | 556 W Mirage Loop, Casa Grande, AZ 85122-6133 | 2019-11-15 |
| 1417323122 | Serenity Health Care | Community Based Residential Treatment Facility, Mental Illness | 1106 N Pinal Ave, Casa Grande, AZ 85122-3302 | 2015-08-17 |
| 1174925424 | Darrell Lemont Ellis Jr. | Community Based Residential Treatment Facility, Mental Illness | 304 N Lincoln Ave, Casa Grande, AZ 85122-4634 | 2014-09-18 |
| 1528474533 | Mary Flanery | Community Based Residential Treatment Facility, Mental Illness | 1365 E 12th St, Casa Grande, AZ 85122-3694 | 2014-07-10 |
| 1598025934 | House of Hope | Community Based Residential Treatment Facility, Mental Illness | 1149 E 11th St, Casa Grande, AZ 85122-3609 | 2012-05-18 |
| 1740419670 | The Chalet House LLC | Community Based Residential Treatment Facility, Mental Illness | 2557 N Lupita Pl, Casa Grande, AZ 85222-1036 | 2009-07-14 |
| 1790842755 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 621 W Racine Loop, Casa Grande, AZ 85222-5111 | 2007-01-02 |
| 1841356003 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 1668 E Melissa St, Casa Grande, AZ 85222-4742 | 2006-12-29 |
| 1427114743 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 8428 W. Royal Blackheath, Casa Grande, AZ 85223 | 2006-12-29 |
| 1225192107 | Horizon Health and Wellness, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2269 S Peart Rd, Casa Grande, AZ 85222 | 2006-12-21 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on HOUSE OF HOPE BEHAVIORAL HEALTH LLC.
| 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.