JESA HOMES LLC (NPI# 1477843175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477843175 |
| Entity Type | Organization |
| Organization Name | JESA HOMES LLC |
| Practice Address |
2328 W Darrel Rd Phoenix AZ 85041-6412 |
| Practice Telephone | 6022681767 |
| Practice Fax Number | 6022681277 |
| Mailing Telephone | 6022681767 |
| Mailing Fax Number | 6022681277 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |
| Authorized Official Name | MR. MBONG JERRY NGWESE (CO-OWNER) |
| Authorized Official Telephone | 4802339241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | BH3810 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999819 | Jesa Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-30 |
| Street Address |
2328 W DARREL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85041-6412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915843 | Our Home of Unity LLC | Counselor | 6804 S 21st Dr, Phoenix, AZ 85041 | 2019-07-25 |
| 1447816590 | Mbong Jerry Ngwese | Physical Therapist | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-14 |
| 1588228373 | Arizona Dental Management | Dentist | 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 | 2019-04-26 |
| 1447780135 | Mesa Dental Arizona LLC | Dentist | 3320 W Southern Ave #111, Phoenix, AZ 85041 | 2017-06-14 |
| 1932564697 | Job Elliott | Counselor | 4105 W Saint Charles Ave, Phoenix, AZ 85041 | 2015-12-23 |
| 1376914739 | Black Family and Child Services Inc | Community/Behavioral Health | 6811 West 33rd Ave, Phoenix, AZ 85041 | 2015-10-12 |
| 1972900983 | Love Living Life | Assisted Living Facility | 5737 S. 34th Ave, Phoenix, AZ 85041 | 2014-11-20 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1265616213 | Southern Dental | Dentist | 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 | 2007-12-27 |
| 1518140086 | Arizona Cvs Stores,l.l.c. | Durable Medical Equipment & Medical Supplies | 7550 South 19th Ave, Phoenix, AZ 85041 | 2007-12-07 |
| Find all providers in zip 85041 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673548 | Above and Beyond Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1430 E Adams St, Phoenix, AZ 85034-1348 | 2020-09-15 |
| 1326652652 | Audacious Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1922 W Las Palmaritas Dr Apt J110, Phoenix, AZ 85021-5041 | 2020-09-03 |
| 1336751544 | Making Better Moves LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2314 W Saint Kateri Dr, Phoenix, AZ 85041-5342 | 2020-08-19 |
| 1679182042 | Home Care Sweet Home, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4522 E Michigan Ave, Phoenix, AZ 85032-1586 | 2020-07-30 |
| 1184240731 | Embrace Hope Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7707 W Kerby Ave, Phoenix, AZ 85043-1677 | 2020-06-19 |
| 1457976813 | Cactus Wren Community Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3829 W Pollack St, Phoenix, AZ 85041-6118 | 2020-06-11 |
| 1972127462 | Hope Haven LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6802 S 42nd Dr, Phoenix, AZ 85041-3509 | 2020-06-01 |
| 1285258848 | Arizona Center for Family Betterment LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18444 N 25th Ave Ste 4, Phoenix, AZ 85023-1261 | 2020-05-29 |
| 1780206466 | Solutions Integrated LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4150 N 12th St, Phoenix, AZ 85014-4994 | 2020-05-15 |
| 1790307486 | Smith-zen Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2727 E Camelback Rd Apt 207, Phoenix, AZ 85016-4472 | 2020-05-15 |
| 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.