GILA RIVER HEALTH CARE (NPI# 1598021495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598021495 |
| Entity Type | Organization |
| Organization Name | GILA RIVER HEALTH CARE |
| Other Organization Name | THWAJIK KE OUTPATIENT BEHAVIORAL HEALTH SERVICES |
| Practice Address |
3850 N. 16th Street Suite #500 Laveen AZ 85339 |
| Mailing Address |
17242 S. Health Care Drive Laveen AZ 85339 |
| Practice Telephone | 5207963860 |
| Practice Fax Number | 5207963801 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | SCOTT GEMBERLING (CEO) |
| Authorized Official Telephone | 6025281200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Thwajik Ke Outpatient Behavioral Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1730485822 | Gila River Health Care | Substance Abuse Rehabilitation Facility | 3850 North 16th Street, Laveen, AZ 85339 | 2011-02-07 |
| 1285938456 | Gila River Health Care | General Acute Care Hospital | 483 W. Seed Farm, Sacaton, AZ 85147-0000 | 2011-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GILA RIVER HEALTH CARE CORP | 483 W Seed Farm Rd, Sacaton, AZ 85147 |
| Street Address |
3850 N. 16TH STREET SUITE #500 |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| Find all providers in zip 85339 | ||||
| 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 |
|---|---|---|---|---|
| 1376161521 | Western Care Inc | Community/Behavioral Health | 5110 W Bowker St, Laveen, AZ 85339-2465 | 2020-07-13 |
| 1528686227 | Superior Behavioral Care, LLC | Community/Behavioral Health | 7028 S 58th Ave, Laveen, AZ 85339-2265 | 2020-07-09 |
| 1346868049 | Valley Wide Behavioral Care, LLC | Community/Behavioral Health | 5217 W Beautiful Ln, Laveen, AZ 85339-2199 | 2020-07-09 |
| 1730706268 | Azcare4life | Community/Behavioral Health | 3414 W Alicia Dr # 679, Laveen, AZ 85339-3803 | 2020-06-30 |
| 1194349233 | Colpayne Care, LLC | Community/Behavioral Health | 7576 W Darrel Rd, Laveen, AZ 85339-7086 | 2020-06-04 |
| 1316583206 | 5 Stars Home Care Service | Community/Behavioral Health | 4822 W St Charles Ave, Laveen, AZ 85339-8211 | 2019-11-26 |
| 1861967960 | Harbor Behavioral Health & Counseling, LLC | Community/Behavioral Health | 6736 W Carson Rd, Laveen, AZ 85339-7024 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 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 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.