NETWORK FOR INSPIRING CHANGE (NPI# 1528426228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528426228 |
Entity Type | Organization |
Organization Name | NETWORK FOR INSPIRING CHANGE |
Other Organization Name | LENAS PLACE CALLED HOME |
Practice Address |
5208 S 12th Way Phoenix AZ 85040-3202 |
Practice Telephone | 6237348746 |
Mailing Telephone | 6237348746 |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-02-09 |
Authorized Official Name | SHERKEYRO L THOMPSON (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6237348746 |
Authorized Official Credential | ADMINISTRATOR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
LENAS PLACE CALLED HOME | Doing Business As Name - Organization |
Street Address |
5208 S 12TH WAY |
City | PHOENIX |
State | AZ |
Zip Code | 85040-3202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
Find all providers in zip 85040 |
Taxonomy Code | 3104A0630X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Behavioral Disturbances |
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114536752 | The Heritage Behavioral Health Home LLC | Assisted Living Facility | 3927 W Rovey Ave, Phoenix, AZ 85019-1633 | 2020-07-29 |
1801420476 | Holy Trinity Behavioral,llc | Assisted Living Facility | 1630 W Nancy Ln, Phoenix, AZ 85041-5540 | 2020-02-23 |
1184258758 | Holy Trinity Behavioral,llc | Assisted Living Facility | 5308 W Vernon Ave, Phoenix, AZ 85035-1953 | 2020-02-23 |
1083261945 | D&g Behavioral Health LLC | Assisted Living Facility | 3119 N 46th Dr, Phoenix, AZ 85031-3705 | 2019-08-24 |
1881249902 | A Tender Hand Assisted Living Home, LLC, Dba | Assisted Living Facility | 6216 S 36th St, Phoenix, AZ 85042-4904 | 2019-08-06 |
1265098339 | Affinity of Hope Care Home | Assisted Living Facility | 7518 S 15th Dr, Phoenix, AZ 85041-6935 | 2019-05-14 |
1538625744 | N & T Behavioral Health LLC | Assisted Living Facility | 6150 W Cheery Lynn Rd, Phoenix, AZ 85033-5833 | 2019-02-12 |
1104381300 | Holy Trinity Behavioral,llc | Assisted Living Facility | 5208 W Avalon Dr, Phoenix, AZ 85031-3958 | 2019-02-01 |
1225592025 | Royal Behavioral Health LLC | Assisted Living Facility | 3845 W Mauna Loa Ln, Phoenix, AZ 85053-4538 | 2019-01-25 |
1629580717 | Brenton Casteel | Assisted Living Facility | 4638 E Summerhaven Dr, Phoenix, AZ 85044-4820 | 2017-10-29 |
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.