PHOENIX COMFORT HOMES LLC


Address: 17643 N 17th St, Phoenix, AZ 85022-2113
Phone: 6023587936

PHOENIX COMFORT HOMES LLC (NPI# 1811526148) 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) 1811526148
Entity Type Organization
Organization Name PHOENIX COMFORT HOMES LLC
Practice Address 17643 N 17th St
Phoenix
AZ 85022-2113
Practice Telephone 6023587936
Practice Fax Number 6023587936
Mailing Telephone 6023587936
Mailing Fax Number 6023587936
Enumeration Date 2020-04-07
Last Update Date 2020-04-07
Authorized Official Name HUSSEIN AHMED HASSAN (DIRECTOR)
Authorized Official Telephone 6129136133
Authorized Official Credential MSC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
Nursing & Custodial Care Facilities

Office Location

Street Address 17643 N 17TH ST
City PHOENIX
State AZ
Zip Code 85022-2113

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528626074 Keauna Olugu Psychologist 17249 N. 7th St, 1128, Phoenix, AZ 85022 2019-05-30
1215455498 Kristi Etchechury Occupational Therapy Assistant 807 East Beck Lane, Phoenix, AZ 85022 2017-09-07
1871017103 Julie Dale Physical Therapist 1910 E Kathleen Rd, Phoenix, AZ 85022 2017-07-28
1669994539 Valley Wellness Center Pllc Clinic/Center 702 E Bell Rd Ste 112, Phoenix, AZ 85022 2017-07-12
1386001758 Debbie Mulder Behavioral Analyst 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 2016-01-15
1114383437 Jean Fay King Nurse Practitioner 15409 N. 23rd St., Phoenix, AZ 85022 2016-01-04
1093050767 Cheyanne Wilderness Gastelum Midwife 2236 E. Delgado St., Phoenix, AZ 85022 2012-12-06
1760731236 Nicole Ann Raus Occupational Therapy Assistant 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 2012-08-30
1144593211 Edward Najeeb Abraham Family Medicine 14419 N. 5th Place, Phoenix, AZ 85022 2012-02-20
1942506019 Mirnes Mehic Assisted Living Facility 2018 E. Wagoner Rd., Phoenix, AZ 85022 2011-02-07
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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245847664 Young Life Al Inc. Assisted Living Facility 2334 W Rancho Dr, Phoenix, AZ 85015-2211 2020-09-29
1225697386 Alpine Villa LLC Assisted Living Facility 2144 W Luke Ave, Phoenix, AZ 85015-2319 2019-06-11
1225510118 Adagio Luxury 4 LLC Assisted Living Facility 1045 E Bethany Home Rd, Phoenix, AZ 85014-2229 2018-09-06
1528446648 Prats Care Home L.L.C. Assisted Living Facility 13401 N 30th St, Phoenix, AZ 85032-6028 2015-05-08
1871914408 A1 Universal Care Inc Assisted Living Facility 2529 W Vista Ave, 102, Phoenix, AZ 85051-6783 2013-12-27
1548582679 Baraka House LLC Assisted Living Facility 15402 N 29th Ave, Phoenix, AZ 85053-4003 2010-02-16
1902034424 Brett Calabro's Home Assisted Living Facility 4002 W Sharon Ave, Phoenix, AZ 85029-1044 2009-06-23
1013172352 Visionz Alliance LLC Assisted Living Facility 351 W Sumerset Dr, Phoenix, AZ 85023-7425 2008-07-25
1104084383 Baraka House LLC Assisted Living Facility 13619 N 36th Ave, Phoenix, AZ 85029-1103 2008-05-24
1609079235 Baraka House Assisted Living Facility 3740 W Caron St, Phoenix, AZ 85051-3340 2007-06-10
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Competitor

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City PHOENIX
Zip Code 85022

Improve Information

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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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