NEW BEGINNINGS GROUP HOME, INC.


Address: 3109 S 100th Dr, Tolleson, AZ 85353-8434
Phone: 6027339285

NEW BEGINNINGS GROUP HOME, INC. (NPI# 1639640915) 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) 1639640915
Entity Type Organization
Organization Name NEW BEGINNINGS GROUP HOME, INC.
Practice Address 3109 S 100th Dr
Tolleson
AZ 85353-8434
Practice Telephone 6027339285
Mailing Telephone 6027339285
Enumeration Date 2018-12-11
Last Update Date 2018-12-11
Authorized Official Name KASSINDA KING BAYO (OWNER)
Authorized Official Telephone 6027339285
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ IRS 5432 01

Office Location

Street Address 3109 S 100TH DR
City TOLLESON
State AZ
Zip Code 85353-8434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073081808 Kassinda King Bayo Psychologist 3109 S 100th Dr, Tolleson, AZ 85353-8434 2018-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710503388 Annie's Home, LLC Home Health 8517 W Chickasaw St., Tolleson, AZ 85353 2020-06-19
1427614429 Destiny Behavioral Health Residential Care LLC 6 Community Based Residential Treatment Facility, Mental Illness 8755 W Pioneer Street, Tolleson, AZ 85353 2019-05-15
1831669258 New Beginning Behavioral Health LLC Psychiatric Residential Treatment Facility 3329 S 87th Dr, Tolleson, AZ 85353 2018-11-28
1679049886 Jaclyn Peters Registered Nurse 9401 West Garfield Street, Tolleson, AZ 85353 2018-10-16
1265949861 Destiny Behavioral Health Residential Care LLC 5 Community Based Residential Treatment Facility, Mental Illness 10313 W Hess Street, Tolleson, AZ 85353 2018-01-04
1174858260 Earl Dean Elwood Pharmacist 500 S. 99th Ave, Tolleson, AZ 85353 2009-10-07
1952533556 Sun Valley Pharmacy LLC Pharmacy 219 W Pima, Gila Bend, AZ 85353 2009-08-14
1467570747 Union Elementary School Local Education Agency (LEA) 3834 S 91st Ave, Tolleson, AZ 85353 2007-03-26
1285798462 Promenade Dental Group, LLP Dentist 2755 S 99th Ave, Ste 105, Tolleson, AZ 85353 2006-12-21
1679636781 Greta Denise Doss Respite Care 3006 S 102 Ln, Tolleson, AZ 85353 2006-12-19
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962022665 New Hope of Arizona, Inc. Residential Treatment Facility, Emotionally Disturbed Children 8710 W Watkins St, Tolleson, AZ 85353-9028 2020-04-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528666039 Rehoboth LLC Residential Treatment Facility, Emotionally Disturbed Children 46136 W Mountain View Rd # A, Maricopa, AZ 85139-6796 2020-10-16
1639798143 Anthony Udoinwang Residential Treatment Facility, Emotionally Disturbed Children 10435 W Reade Ave, Glendale, AZ 85307-4237 2020-04-14
1033756358 Native Music Coalition Residential Treatment Facility, Emotionally Disturbed Children 5150 S Crazy Cat Ln, Tucson, AZ 85735 2019-12-05
1013558311 Back To Life Incorporated Residential Treatment Facility, Emotionally Disturbed Children 6420 W Cocopah St, Phoenix, AZ 85043 2019-10-08
1487118865 Serenity Preferred LLC Residential Treatment Facility, Emotionally Disturbed Children 17829 W Columbine Dr, Surprise, AZ 85388-5628 2019-01-30
1407333958 Copa's Caring Hands LLC. Residential Treatment Facility, Emotionally Disturbed Children 42251 W Bravo Dr, Maricopa, AZ 85138-2295 2018-07-26
1538668983 Starks Homes LLC Residential Treatment Facility, Emotionally Disturbed Children 7325 E Fayette St, Tucson, AZ 85730-2324 2018-02-12
1881100147 Anna Marie Barrios Residential Treatment Facility, Emotionally Disturbed Children 18811 N 7th Dr, Phoenix, AZ 85027-5508 2017-12-22
1033625926 Youth Transition Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1190 S Boulder St Unit D, Gilbert, AZ 85296-3792 2017-12-14
1538681374 Rey Ash Residential Facility LLC Residential Treatment Facility, Emotionally Disturbed Children 3765 W Yellow Peak Dr, San Tan Valley, AZ 85142-3090 2017-07-13
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Competitor

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City TOLLESON
Zip Code 85353

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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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