HOUSE OF HOPE (NPI# 1619299054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619299054 |
| Entity Type | Organization |
| Organization Name | HOUSE OF HOPE |
| Practice Address |
5814 S 11th St Phoenix AZ 85040-3177 |
| Practice Telephone | 6027703634 |
| Mailing Telephone | 6027703634 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |
| Authorized Official Name | CHANEL JEAN JOHNSIN (OWNER DIRECTOR) |
| Authorized Official Telephone | 6027703634 |
| Authorized Official Credential | ME |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | BH3487 | AZ | Residential Treatment Facilities |
| 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 |
| 1598025934 | House of Hope | Community Based Residential Treatment Facility, Mental Illness | 1149 E 11th St, Casa Grande, AZ 85122-3609 | 2012-05-18 |
| 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 |
| 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 |
| Colorado Business Entities | House of Hope Denver, Inc | 10090 Garrison Street, #106, Westminster, CO 80021 |
| Alabama Business Registrations | HOUSE OF HOPE DEVELOPMENT CORPORATION, INC. | 532 Lee Rd. 207, Phenix City, AL 36870 |
| System for Award Management (SAM) Entities | HOUSE OF HOPE FOR ALCOHOLICS,INC. | 825 Dennison Ave, Columbus, OH 43215-1315 |
| Oregon Corporations, Companies and Business Names | HOUSE OF HOPE FOUNDATION | 68763 Wasser Road, Rainier, OR 97048 |
| Street Address |
5814 S 11TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-3177 |
| 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 | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
| 1881100147 | Anna Marie Barrios | Residential Treatment Facility, Emotionally Disturbed Children | 18811 N 7th Dr, Phoenix, AZ 85027-5508 | 2017-12-22 |
| 1023546819 | Zion Living | Residential Treatment Facility, Emotionally Disturbed Children | 1618 E Wood St, Phoenix, AZ 85040-1360 | 2017-05-24 |
| 1326400623 | Community Network Fellowship, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1839 N 39th St, Suite A, Phoenix, AZ 85008-3915 | 2016-03-25 |
| 1972910248 | Empower House LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2413 W Fetlock Trl, Phoenix, AZ 85085-5770 | 2014-07-17 |
| 1639596927 | Eagles Nest Group Home, Dba | Residential Treatment Facility, Emotionally Disturbed Children | 1802 E Dobbins Rd, Phoenix, AZ 85042-8500 | 2014-03-25 |
| 1497032668 | Vision Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 2917 W Bowker St, Phoenix, AZ 85041-3477 | 2011-11-15 |
| 1548544463 | Cdh Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 4017 E La Puente Ave, Phoenix, AZ 85044-1339 | 2011-10-11 |
| 1760787527 | United Youth and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 33016 N 24th Ln, Phoenix, AZ 85085-6024 | 2011-01-25 |
| 1740500966 | Oasis Care Living, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 6434 S 17th Pl, Phoenix, AZ 85042-4554 | 2010-06-10 |
| 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.