LOLOMA HOUSES LLC (NPI# 1407482268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407482268 |
| Entity Type | Organization |
| Organization Name | LOLOMA HOUSES LLC |
| Other Organization Name | LOLOMA HOUSE AT GREENWAY |
| Practice Address |
6125 W Sunnyside Dr Glendale AZ 85304-2533 |
| Mailing Address |
8408 W Willow Ave Peoria AZ 85381-4864 |
| Practice Telephone | 6234186657 |
| Mailing Telephone | 6234186657 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | MRS. LAURA ADILOBA HORNBACK (OWNER / ADMINISTRATOR) |
| Authorized Official Telephone | 6234186657 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOLOMA HOUSE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 1942743711 | 05 |
| Other Name | Type Code |
|---|---|
| Loloma House at Greenway | Doing Business As Name - Organization |
| Loloma House at Sunnyside | Doing Business As Name - Organization |
| Street Address |
6125 W SUNNYSIDE DR |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| 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 |
|---|---|---|---|---|
| 1821602889 | Plsn Corp. | Community/Behavioral Health | 8751 N 51st Ave Ste 108, Glendale, AZ 85302-4943 | 2020-09-06 |
| 1861010340 | Redfield Behavioral Health LLC | Community/Behavioral Health | 4842 W Redfield Rd, Glendale, AZ 85306-4910 | 2020-07-10 |
| 1649895129 | Freedom Family Counseling, LLC | Community/Behavioral Health | 17250 N 43rd Ave Ste 4, Glendale, AZ 85308-4032 | 2020-06-10 |
| 1922644897 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 12009 N 45th Dr, Glendale, AZ 85304-3010 | 2019-11-26 |
| 1942841770 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 10120 W Oregon Ave, Glendale, AZ 85307-4149 | 2019-10-02 |
| 1417420142 | Family Involvement Center, Inc | Community/Behavioral Health | 5044 W Cactus Rd, Glendale, AZ 85304-2243 | 2019-01-04 |
| 1740776640 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1014 Zook Dr, Glendale, CA 91202-2623 | 2018-07-03 |
| 1396253514 | Muco Behavioral Health Residential Home 2 | Community/Behavioral Health | 9010 N 63rd Dr, Glendale, AZ 85302-4031 | 2018-01-22 |
| 1629581988 | Tangeroad, LLC | Community/Behavioral Health | 229 N Central Ave Ste 402, Glendale, CA 91203-3542 | 2017-11-08 |
| 1881125219 | Caring for Arizona, Inc | Community/Behavioral Health | 6802 N 47th Ave Ste 5, Glendale, AZ 85301-3599 | 2017-03-27 |
| Find all providers in GLENDALE | ||||
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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.