FSL PATHWAYS (NPI# 1508092776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508092776 |
| Entity Type | Organization |
| Organization Name | FSL PATHWAYS |
| Other Organization Name | AGL - CANYON |
| Practice Address |
13629 N 21st Dr Phoenix AZ 85029-1502 |
| Mailing Address |
1201 E Thomas Rd Phoenix AZ 85014-5734 |
| Practice Telephone | 6022850505 |
| Practice Fax Number | 6022851838 |
| Mailing Telephone | 6022850505 |
| Mailing Fax Number | 6022851838 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-08-26 |
| Authorized Official Name | MS. ANNETTE M INIGUEZ (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 6022850505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH3294 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BEHAVIORAL HEALTH | BH3294 | 01 |
| AZ | AHCCCS ID # | 433075 | 01 |
| Other Name | Type Code |
|---|---|
| AGL - Canyon | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922338227 | Fsl Pathways | Community/Behavioral Health | 916 E Watson Dr, Tempe, AZ 85283-3031 | 2010-01-08 |
| 1467518985 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3916 W Evans Dr, Phoenix, AZ 85053-5454 | 2006-12-29 |
| 1790841229 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3367 W Surrey Ave, Phoenix, AZ 85029-1248 | 2006-12-29 |
| 1699831123 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3126 W Columbine Dr, Phoenix, AZ 85029-2326 | 2006-12-29 |
| 1780740449 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 8963 W Peck Dr, Glendale, AZ 85305-2440 | 2006-12-28 |
| 1538225289 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 9405 N 34th Pl, Phoenix, AZ 85028-4924 | 2006-12-28 |
| 1760548564 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 3615 W Hearn Rd, Phoenix, AZ 85053-5521 | 2006-12-28 |
| 1659437317 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 613 W Plata Ave, Mesa, AZ 85210-8330 | 2006-12-28 |
| 1619033412 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 925 W Fogal Way, Tempe, AZ 85282-4727 | 2006-12-28 |
| 1811053663 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 14214 N 20th Way, Phoenix, AZ 85022-4682 | 2006-12-28 |
| Street Address |
13629 N 21ST DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255604864 | Fsl Pathways | Community Based Residential Treatment Facility, Mental Illness | 13629 N 21st Dr, Phoenix, AZ 85029-1502 | 2012-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| 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 |
|---|---|---|---|---|
| 1235736018 | Happy Valley Community Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1106 E Cochise Dr, Phoenix, AZ 85020-1550 | 2020-10-05 |
| 1639782956 | Ascend Behavioral Health and Wellness,llc | Community Based Residential Treatment Facility, Mental Illness | 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 | 2020-08-26 |
| 1588281604 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 1402 E Hoover Ave, Phoenix, AZ 85006-1737 | 2020-07-06 |
| 1174143846 | Alpine Villa LLC | Community Based Residential Treatment Facility, Mental Illness | 14414 N 29th St, Phoenix, AZ 85032-5004 | 2020-04-22 |
| 1346860657 | Semper Fidelis Behavioral Health & Counseling, LLC | Community Based Residential Treatment Facility, Mental Illness | 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 | 2020-04-16 |
| 1548889793 | Shea Home LLC | Community Based Residential Treatment Facility, Mental Illness | 10435 N 40th St, Phoenix, AZ 85028-4043 | 2020-04-08 |
| 1699394858 | Acome Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4509 E Acoma Dr, Phoenix, AZ 85032-4855 | 2020-04-08 |
| 1033748009 | Optimum Care of Arizona LLC | Community Based Residential Treatment Facility, Mental Illness | 717 E Harwell Rd, Phoenix, AZ 85042-6655 | 2020-04-02 |
| 1043846561 | Happy Haven Az LLC | Community Based Residential Treatment Facility, Mental Illness | 1110 W Hadley St, Phoenix, AZ 85007-3610 | 2020-03-16 |
| 1942835806 | Mercy Favor and Grace Social Services | Community Based Residential Treatment Facility, Mental Illness | 9431 W Sheridan St, Phoenix, AZ 85037-4435 | 2020-03-10 |
| 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.