THE RIVER SOURCE IOP (NPI# 1700262490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700262490 |
| Entity Type | Organization |
| Organization Name | THE RIVER SOURCE IOP |
| Practice Address |
128 W Pepper Pl Suite 126 & 128 Mesa AZ 85201-7317 |
| Practice Telephone | 4802410170 |
| Practice Fax Number | 4806103823 |
| Mailing Telephone | 4802410170 |
| Mailing Fax Number | 4806103823 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | TERESA STENZ (BEHAVIORAL HEALTH INSURANCE COORDIN) |
| Authorized Official Telephone | 4502410170 |
| Authorized Official Credential | BHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
128 W PEPPER PL SUITE 126 & 128 |
| City | MESA |
| State | AZ |
| Zip Code | 85201-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538599469 | The River Source Iop LLC | Substance Abuse Rehabilitation Facility | 128 W Pepper Pl, Mesa, AZ 85201-7317 | 2013-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073179883 | Dara II Inc | Substance Abuse Rehabilitation Facility | 4645 E Ellis Cir, Mesa, AZ 85205-5238 | 2019-05-16 |
| 1417458753 | Reboot Detox Az LLC | Substance Abuse Rehabilitation Facility | 1132 S Oakland, Mesa, AZ 85206-2682 | 2018-02-22 |
| 1326491283 | Soba Mesa LLC | Substance Abuse Rehabilitation Facility | 6215 E Arbor Ave, Mesa, AZ 85206-6064 | 2016-07-15 |
| 1841649258 | Big Sky Recovery LLC | Substance Abuse Rehabilitation Facility | 2360 N Robin Ln, Mesa, AZ 85213-2474 | 2016-06-07 |
| 1104209352 | Recovery Homes, Inc | Substance Abuse Rehabilitation Facility | 141 South Center Street, Suite B, Mesa, AZ 85210 | 2015-07-07 |
| 1710369483 | Recovery Homes, Inc | Substance Abuse Rehabilitation Facility | 143 S Center St, Suite A, Mesa, AZ 85210-1307 | 2015-06-18 |
| 1306243084 | Residents At The Heights LLC | Substance Abuse Rehabilitation Facility | 215 S Power Rd Ste 1251, Mesa, AZ 85206-5238 | 2014-11-25 |
| 1538599469 | The River Source Iop LLC | Substance Abuse Rehabilitation Facility | 128 W Pepper Pl, Mesa, AZ 85201-7317 | 2013-11-13 |
| 1578807145 | Recovery Help, LLC. | Substance Abuse Rehabilitation Facility | 3945 E Broadway Rd, Mesa, AZ 85206-1030 | 2012-11-20 |
| 1497833644 | Anasazi Foundation | Substance Abuse Rehabilitation Facility | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2006-11-02 |
| Find all providers in MESA | ||||
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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.