GRACE OF SERENITY LIVING, INC


Address: 4620 N 16th St, A-101, Phoenix, AZ 85016-5121
Phone: 6024414690

GRACE OF SERENITY LIVING, INC (NPI# 1528184959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528184959
Entity Type Organization
Organization Name GRACE OF SERENITY LIVING, INC
Practice Address 4620 N 16th St
A-101
Phoenix
AZ 85016-5121
Practice Telephone 6024414690
Practice Fax Number 6024414694
Mailing Telephone 6024414690
Mailing Fax Number 6024414694
Enumeration Date 2007-03-21
Last Update Date 2011-10-11
Authorized Official Name MS. TAMMY MEADE (PRESIDENT)
Authorized Official Telephone 6024414690
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health BH-3929 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ 2 931271 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114197969 Grace of Serenity Living, Inc Residential Treatment Facility, Emotionally Disturbed Children 8340 N 86th Ln, Peoria, AZ 85345-2553 2008-03-07

Office Location

Street Address 4620 N 16TH ST
A-101
City PHOENIX
State AZ
Zip Code 85016-5121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902978463 Jill Zwaska Social Worker 4620 N 16th St, E110, Phoenix, AZ 85016-5121 2006-11-13
1053657361 Genesis Medical Practice Management Psychologist 4620 N 16th St, E-110, Phoenix, AZ 85016-5121 2012-12-14
1548491350 Arizona Behavioral Home Health Services LLC Psychologist 4620 N 16th St, E-110, Phoenix, AZ 85016-5121 2009-07-29
1679709646 Jeff C Reed Counselor 4620 N 16th St, Suite E-110, Phoenix, AZ 85016-5121 2009-06-04
1891965810 Elaine M Katzman Nurse Practitioner 4620 N 16th St, Suite #e-110, Phoenix, AZ 85016-5121 2008-03-05
1073782884 Charles Brady Dalton Psychologist 4620 N 16th St, Suite #e-110, Phoenix, AZ 85016-5121 2008-02-26
1518166453 Shirvan, Inc. Durable Medical Equipment & Medical Supplies 4620 N 16th St, B-209, Phoenix, AZ 85016-5121 2007-07-12
1851510812 Antonio Dacosta Social Worker 4620 N 16th St, Suite #e-110, Phoenix, AZ 85016-5121 2007-04-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790384030 Great Xpectations LLC Community/Behavioral Health 4014 W Christy Dr, Phoenix, AZ 85029-3958 2020-10-19
1386242295 Mercy Cares LLC Community/Behavioral Health 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 2020-10-13
1124626080 Beia's Families Community/Behavioral Health 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 2020-10-13
1518564442 Infinity Groups Homes LLC Community/Behavioral Health 3523 E Everett Dr, Phoenix, AZ 85032-5136 2020-10-05
1013524230 Civara Behavioral Health LLC Community/Behavioral Health 4010 W Cactus Rd, Phoenix, AZ 85029-2905 2020-10-01
1043827561 Crossroads, Inc Community/Behavioral Health 2002 E Osborn Rd, Phoenix, AZ 85016-7236 2020-09-29
1043827025 Guiding Steps Health Services, LLC Community/Behavioral Health 4926 E Mcdowell Rd, Phoenix, AZ 85008-4294 2020-09-24
1154931566 Apex Transitional Housing Inc Community/Behavioral Health 13827 N 11th St, Phoenix, AZ 85022-4316 2020-08-01
1356959126 Rock House Az, LLC Community/Behavioral Health 8650 N 35th Ave Ste 110, Phoenix, AZ 85051-3835 2020-07-17
1215554902 Lydia Barton Community/Behavioral Health 1420 W Missouri Ave, Phoenix, AZ 85013-1919 2020-06-29
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Competitor

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City PHOENIX
Zip Code 85016

Improve Information

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Dataset Information

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.

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