HOUSE OF HOPE (NPI# 1598025934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598025934 |
| Entity Type | Organization |
| Organization Name | HOUSE OF HOPE |
| Practice Address |
1149 E 11th St Casa Grande AZ 85122-3609 |
| Practice Telephone | 5204317750 |
| Practice Fax Number | 5204211120 |
| Mailing Telephone | 5204317750 |
| Mailing Fax Number | 5204212877 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |
| Authorized Official Name | MS. FOLASAYO OLADOKUN (ADMINISTRATOR) |
| Authorized Official Telephone | 5204317750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH4017 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPARTMENT OF HEALTH | BH4017 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174036156 | House of Hope | Community Based Residential Treatment Facility, Mental Illness | 222 W Hickory Ave, Bastrop, LA 71220-4552 | 2017-11-13 |
| 1619299054 | House of Hope | Residential Treatment Facility, Emotionally Disturbed Children | 5814 S 11th St, Phoenix, AZ 85040-3177 | 2010-02-26 |
| 1730314840 | House of Hope | Nursing Care | 7914 Leavenworth Rd, Kansas City, KS 66109-1578 | 2009-05-18 |
| 1104007723 | House of Hope | Clinic/Center | 2416 Sheve Rd., Rocky Mount, NC 27801 | 2007-11-26 |
| 1184755647 | House of Hope | Preferred Provider Organization | 2400 S Greenwich Rd, Wichita, KS 67210-1813 | 2007-03-08 |
| 1174667125 | House of Hope | Non-emergency Medical Transport (VAN) | 424 W Kaibab Way, Cochise, AZ 85606-8710 | 2007-02-16 |
| 1770696635 | House of Hope | Substance Abuse Rehabilitation Facility | 857 E 200 S, Salt Lake City, UT 84102-2334 | 2006-08-16 |
| 1528171493 | House of Hope | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2006-08-16 |
| 1962045294 | House of Hope | Clinic/Center | 296 Sunrise Dr, Lincolnton, GA 30817-4249 | 2019-10-18 |
| 1326564527 | House of Hope | Clinic/Center | 1744 2nd Ave Se, Cedar Rapids, IA 52403-2306 | 2017-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOUSE OF HOPE | 434 S Springfield Ave, Bolivar, MO 65613-2130 |
| Oregon Corporations, Companies and Business Names | HOUSE OF HOPE | 6807 Se 78th Ave, Portland, OR 97206 |
| Colorado Business Entities | House of hope & refuge | 818 4th St, Greeley, CO 80631 |
| Alabama Business Registrations | House of Hope 12, Inc. | 740 East Main Street Suite S, Prattville, AL 36067 |
| New York State Corporations | HOUSE OF HOPE AND HEALING INC | 218-14 Northern Blvd, Suite 108, Bayside, Ny 11361 |
| New York State Corporations | HOUSE OF HOPE AND LOVE LLC | 90 State Street, Ste 700, Albany, Ny 12207 |
| Virginia Business Entities | House of Hope Central Virginia Incorporated | Po Box 885, Waynesboro, Virginia 22980-0655 |
| System for Award Management (SAM) Entities | HOUSE OF HOPE COMMUNITY DEVELOPMENT CORPORATION | 3188 Post Rd Unit 1, Warwick, RI 02886-7176 |
| New York State Corporations | HOUSE OF HOPE COMMUNITY SERVICES | 1 Church Rd., Suffern, New York 10901 |
| Colorado Business Entities | HOUSE OF HOPE CORP | 11300 E Mississippi Ave, Aurora, CO 80012 |
| Street Address |
1149 E 11TH ST |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396195939 | House of Hope Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 1149 E 11th St, Casa Grande, AZ 85122-3609 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073158846 | Kewala Corporations | Community Based Residential Treatment Facility, Mental Illness | 556 W Mirage Loop, Casa Grande, AZ 85122-6133 | 2019-11-15 |
| 1417323122 | Serenity Health Care | Community Based Residential Treatment Facility, Mental Illness | 1106 N Pinal Ave, Casa Grande, AZ 85122-3302 | 2015-08-17 |
| 1174925424 | Darrell Lemont Ellis Jr. | Community Based Residential Treatment Facility, Mental Illness | 304 N Lincoln Ave, Casa Grande, AZ 85122-4634 | 2014-09-18 |
| 1528474533 | Mary Flanery | Community Based Residential Treatment Facility, Mental Illness | 1365 E 12th St, Casa Grande, AZ 85122-3694 | 2014-07-10 |
| 1740419670 | The Chalet House LLC | Community Based Residential Treatment Facility, Mental Illness | 2557 N Lupita Pl, Casa Grande, AZ 85222-1036 | 2009-07-14 |
| 1790842755 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 621 W Racine Loop, Casa Grande, AZ 85222-5111 | 2007-01-02 |
| 1841356003 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 1668 E Melissa St, Casa Grande, AZ 85222-4742 | 2006-12-29 |
| 1427114743 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 8428 W. Royal Blackheath, Casa Grande, AZ 85223 | 2006-12-29 |
| 1225192107 | Horizon Health and Wellness, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2269 S Peart Rd, Casa Grande, AZ 85222 | 2006-12-21 |
| 1396195939 | House of Hope Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 1149 E 11th St, Casa Grande, AZ 85122-3609 | 2016-06-14 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
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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.