SHEA HOME LLC


Address: 10435 N 40th St, Phoenix, AZ 85028-4043
Phone: 4802662461

SHEA HOME LLC (NPI# 1548889793) 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) 1548889793
Entity Type Organization
Organization Name SHEA HOME LLC
Practice Address 10435 N 40th St
Phoenix
AZ 85028-4043
Practice Telephone 4802662461
Enumeration Date 2020-04-08
Last Update Date 2020-04-08
Authorized Official Name KEVIN MAFTEAN (DIRECTOR)
Authorized Official Telephone 4802662461
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 10435 N 40TH ST
City PHOENIX
State AZ
Zip Code 85028-4043

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235626565 Celice Korsten Psychologist 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 2018-04-23
1720591605 Michele Kaplan Counselor 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 2017-11-14
1154840304 Faustino M. Gonzalez, Md PC Anesthesiology 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 2017-09-19
1679092514 Savior Palliative Care LLC Family Medicine 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 2017-09-12
1437688892 Harmony Behavioral Health Behavioral Analyst 3008 E Sierra St, Phoenix, AZ 85028 2017-06-08
1275949224 Alexander D Garza Podiatrist 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 2014-07-09
1720418379 Alyssa Hale Occupational Therapy Assistant 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 2013-11-19
1932534476 Stephen Howard Garber Otolaryngology 9607 N. 43rd Way, Phoenix, AZ 85028 2013-09-03
1366798050 Irna Lynn Shamos Clinical Neuropsychologist 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 2012-07-31
1285930925 Cathy Ann Payne Nurse Practitioner 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 2011-01-27
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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
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
1891320271 The Family House, LLC Community Based Residential Treatment Facility, Mental Illness 3017 W Pecan Rd, Phoenix, AZ 85041-4429 2020-03-06
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Competitor

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City PHOENIX
Zip Code 85028

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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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