ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC. (NPI# 1811167067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811167067 |
Entity Type | Organization |
Organization Name | ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC. |
Other Organization Name | KEIM |
Practice Address |
2208 W Keim Dr Phoenix AZ 85015-1943 |
Mailing Address |
110 W Camelback Rd Phoenix AZ 85013-2564 |
Practice Telephone | 6022420703 |
Mailing Telephone | 6022302222 |
Mailing Fax Number | 6022302026 |
Enumeration Date | 2008-03-04 |
Last Update Date | 2008-03-04 |
Authorized Official Name | MRS. JACKIE MOLER (VP,COO) |
Authorized Official Telephone | 6022302222 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | BH-2625 | AZ | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 935596 | 05 |
Other Name | Type Code |
---|---|
Keim | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407026644 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5344 N 40th Ln, Phoenix, AZ 85019-2213 | 2008-03-04 |
1699945824 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7722 N 42nd Ave, Phoenix, AZ 85051-5711 | 2008-03-04 |
1013187277 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2022 W State Ave, Phoenix, AZ 85021-7838 | 2008-03-04 |
1003086232 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6627 W Kings Ave, Glendale, AZ 85306-1615 | 2008-03-04 |
1164692307 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6835 W Oregon Ave, Glendale, AZ 85303-5926 | 2008-03-04 |
1477723617 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4301 W Windrose Dr, Glendale, AZ 85304-2102 | 2008-03-04 |
Street Address |
2208 W KEIM DR |
City | PHOENIX |
State | AZ |
Zip Code | 85015-1943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
Find all providers in zip 85015 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437768892 | Max Care Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2239 W Hasan Dr, Phoenix, AZ 85041-5312 | 2020-07-30 |
1255957304 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7209 W Forest Grove Ave, Phoenix, AZ 85043-7303 | 2020-06-24 |
1265067052 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7321 S 15th Dr, Phoenix, AZ 85041-6932 | 2020-03-12 |
1083249874 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1506 E Irwin Ave, Phoenix, AZ 85042-5618 | 2020-03-12 |
1861024069 | New Roots Residency LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3139 W Carson Rd, Phoenix, AZ 85041-6342 | 2020-02-06 |
1972149078 | Serenitybehavioralhealth.llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15202 N Flamenco Dr, Phoenix, AZ 85053-4872 | 2019-11-23 |
1386102788 | Huduma House, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6221 W Illini St, Phoenix, AZ 85043-1915 | 2019-03-05 |
1396158481 | Every Voice Counts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10610 S 48th St, Unit 1068, Phoenix, AZ 85044-1743 | 2014-06-05 |
1902131865 | Master Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28809 N 25th Gln, Phoenix, AZ 85085-3737 | 2009-10-11 |
1407026644 | Arizona Health Care Contract Management Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5344 N 40th Ln, Phoenix, AZ 85019-2213 | 2008-03-04 |
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.