TERROS, INC. (NPI# 1487072351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487072351 |
| Entity Type | Organization |
| Organization Name | TERROS, INC. |
| Other Organization Name | MAVERICK HOUSE |
| Practice Address |
5801 N 51st Ave Glendale AZ 85301-6057 |
| Mailing Address |
3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 |
| Practice Telephone | 6026856000 |
| Practice Fax Number | 6029300358 |
| Mailing Telephone | 6026856000 |
| Mailing Fax Number | 6023027925 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | PEGGY CHASE (CEO) |
| Authorized Official Telephone | 6026856000 |
| Is Organization Subpart | Y |
| Parent Organization Name | TERROS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BH4459 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 906404 | 05 |
| Other Name | Type Code |
|---|---|
| MAVERICK HOUSE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
| 1295129823 | Terros, Inc. | Clinic/Center | 3385 N Campbell Ave, Tucson, AZ 85719-2306 | 2015-03-20 |
| 1841498060 | Terros, Inc. | Community/Behavioral Health | 3003 N Central Ave Ste 400, Phoenix, AZ 85012-2929 | 2007-07-10 |
| 1295784817 | Terros, Inc. | Clinic/Center | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 | 2006-05-09 |
| 1972135390 | Terros, Inc. | Community/Behavioral Health | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-02-05 |
| 1437626843 | Terros, Inc. | Clinic/Center | 4616 N 51st Ave Ste 108, Phoenix, AZ 85031-1720 | 2018-10-24 |
| 1235590712 | Terros, Inc. | Community/Behavioral Health | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2016-03-11 |
| 1932593944 | Terros, Inc. | Clinic/Center | 1232 E Broadway Rd Ste 120, Tempe, AZ 85282-1510 | 2015-03-27 |
| 1467841023 | Terros, Inc. | Clinic/Center | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2015-01-20 |
| 1699173245 | Terros, Inc. | Clinic/Center | 6151-6153 W Olive Ave, Glendale, AZ 85302-4598 | 2014-12-15 |
| Street Address |
5801 N 51ST AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215320288 | Louis J Nardone | Counselor | 5801 N 51st Ave, Glendale, AZ 85301-6057 | 2015-03-13 |
| 1730579327 | Diane De George | Counselor | 5801 N 51st Ave, Glendale, AZ 85301-6057 | 2015-02-03 |
| 1134519796 | Jill R Crook | Counselor | 5801 N 51st Ave, Glendale, AZ 85301-6057 | 2015-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| 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] |
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| 1548882467 | Helping Hands Realty | Substance Abuse Rehabilitation Facility | 4813 W Belmont Ave, Glendale, AZ 85301-1523 | 2020-05-13 |
| 1851821417 | Right On Programs Inc | Substance Abuse Rehabilitation Facility | 522 E Broadway Ste 101, Glendale, CA 91205-1185 | 2017-06-15 |
| 1275768947 | Fresh Start Community Services | Substance Abuse Rehabilitation Facility | 7206 N 55th Ave, Suite 101, Glendale, AZ 85301-1975 | 2009-05-23 |
| 1437346517 | Northwest Organization for Voluntary Alternatives | Substance Abuse Rehabilitation Facility | 5801 North 51st Avenue Suite 109, Glendale, AZ 85301 | 2007-10-02 |
| 1841816402 | Jewel City Treatment Center | Substance Abuse Rehabilitation Facility | 501 E Harvard St Unit A, Glendale, CA 91205-1114 | 2020-06-19 |
| 1245886415 | Crossroads, Inc Pure Heart Counseling Center | Substance Abuse Rehabilitation Facility | 14240 N 43rd Ave, Glendale, AZ 85306-4511 | 2019-08-14 |
| 1831673763 | Golden Peak Recovery | Substance Abuse Rehabilitation Facility | 4411 E Kentucky Ave, Glendale, CO 80246-2009 | 2018-09-17 |
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| 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 |
| 1356963839 | Summit Behavioral Health of Az, LLC | Substance Abuse Rehabilitation Facility | 1989 Willow Lake Rd Unit 100-105, Prescott, AZ 86301-4885 | 2020-05-07 |
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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.