ARIZONA BEHAVIORAL HOME HEALTH SERVICES LLC (NPI# 1548491350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548491350 |
| Entity Type | Organization |
| Organization Name | ARIZONA BEHAVIORAL HOME HEALTH SERVICES LLC |
| Other Organization Name | MENTUS GROUP |
| Practice Address |
4620 N 16th St E-110 Phoenix AZ 85016-5121 |
| Practice Telephone | 6022642770 |
| Practice Fax Number | 8665341701 |
| Mailing Telephone | 6022642770 |
| Mailing Fax Number | 8665341701 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | MR. DARYL CRAIG MILLAR (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 6022642770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
3376 | AZ | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | BH-3188 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | OBHL LICENSE | BH-3188 | 01 |
| AZ | 703307 | 05 |
| Other Name | Type Code |
|---|---|
| Mentus Group | Doing Business As Name - Organization |
| Street Address |
4620 N 16TH ST E-110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-5121 |
| 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 |
| 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 |
| 1528184959 | Grace of Serenity Living, Inc | Community/Behavioral Health | 4620 N 16th St, A-101, Phoenix, AZ 85016-5121 | 2007-03-21 |
| 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 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| 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 |
| 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.