ARIZONA BEHAVIORAL CARE HOMES LLC (NPI# 1871008219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871008219 |
| Entity Type | Organization |
| Organization Name | ARIZONA BEHAVIORAL CARE HOMES LLC |
| Practice Address |
4349 N 161st Ave Goodyear AZ 85395-6439 |
| Mailing Address |
4645 S Lakeshore Dr Ste 3 Tempe AZ 85282-7152 |
| Practice Telephone | 4808401601 |
| Practice Fax Number | 4808401613 |
| Mailing Telephone | 4808401601 |
| Mailing Fax Number | 4808401613 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | MR. ROBERT CRAWFORD BREEDLOVE (CEO) |
| Authorized Official Telephone | 4808401601 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH5316 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619342201 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1101 E. Goldcrest St, Gilbert, AZ 85297 | 2015-12-08 |
| 1265825418 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16781 W Hilton Ave, Goodyear, AZ 85338-7402 | 2015-03-12 |
| 1578955886 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1946 S 174th Ln, Goodyear, AZ 85338-1924 | 2015-02-23 |
| 1275971632 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 560 N 159th Ln, Goodyear, AZ 85338-3276 | 2013-06-07 |
| 1114272416 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 N Ridge Cir, Mesa, AZ 85203-5129 | 2012-07-23 |
| 1366710535 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16800 W Roosevelt St, Goodyear, AZ 85338-7037 | 2011-12-02 |
| 1528360898 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16575 W Roosevelt St, Goodyear, AZ 85338-6192 | 2010-11-18 |
| 1508182130 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 230 E Frances Ln, Gilbert, AZ 85295-1975 | 2010-04-07 |
| 1518192046 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 7030 S Star Dr, Gilbert, AZ 85298-4126 | 2009-05-28 |
| 1033684683 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1314 E Orange St, Tempe, AZ 85281-4327 | 2018-10-10 |
| Street Address |
4349 N 161ST AVE |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366009920 | Affinity Behavioral Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 4349 N 161st Ave, Goodyear, AZ 85395-6439 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538672076 | Martha's Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 14256 W Fairmount Ave, Goodyear, AZ 85395-8428 | 2017-11-07 |
| 1265825418 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16781 W Hilton Ave, Goodyear, AZ 85338-7402 | 2015-03-12 |
| 1578955886 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1946 S 174th Ln, Goodyear, AZ 85338-1924 | 2015-02-23 |
| 1275971632 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 560 N 159th Ln, Goodyear, AZ 85338-3276 | 2013-06-07 |
| 1366710535 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16800 W Roosevelt St, Goodyear, AZ 85338-7037 | 2011-12-02 |
| 1528360898 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16575 W Roosevelt St, Goodyear, AZ 85338-6192 | 2010-11-18 |
| 1013141407 | Successful Journeys, LLC | Community Based Residential Treatment Facility, Mental Illness | 4434 N 153rd Ln, Goodyear, AZ 85395-6302 | 2009-05-13 |
| 1124685300 | Affinity Behavioral Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 560 N 159th Ln, Goodyear, AZ 85338-3276 | 2019-05-23 |
| 1255998654 | Affinity Behavioral Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 16800 W Roosevelt St, Goodyear, AZ 85338-7037 | 2019-05-22 |
| 1518524917 | Affinity Behavioral Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 1946 S 174th Ln, Goodyear, AZ 85338-1924 | 2019-05-22 |
| Find all providers in GOODYEAR | ||||
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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.