TREE OF LIFE ARIZONA LLC (NPI# 1891193256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891193256 |
| Entity Type | Organization |
| Organization Name | TREE OF LIFE ARIZONA LLC |
| Other Organization Name | TREE OF LIFE ARIZONA |
| Practice Address |
1659 E Draper Cir Mesa AZ 85203-6628 |
| Practice Telephone | 4802846498 |
| Practice Fax Number | 4803507960 |
| Mailing Telephone | 4802846498 |
| Mailing Fax Number | 4803507960 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |
| Authorized Official Name | MR. FLOYD PATTERSON II (FOUNDER/CEO) |
| Authorized Official Telephone | 4802846498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | BH4477 | AZ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Tree of Life Arizona | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144740572 | Tree of Life Arizona LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2935 E Dartmouth St, Mesa, AZ 85213-6907 | 2017-06-27 |
| Street Address |
1659 E DRAPER CIR |
| City | MESA |
| State | AZ |
| Zip Code | 85203-6628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417108218 | Jessica P Green | Behavioral Analyst | 1659 E Draper Cir, Mesa, AZ 85203-6628 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144740572 | Tree of Life Arizona LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2935 E Dartmouth St, Mesa, AZ 85213-6907 | 2017-06-27 |
| 1568855492 | New Horizon Youth Homes, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1102 W Dixon St, Mesa, AZ 85201-4725 | 2015-03-17 |
| 1063802205 | Seeds of Gaia LLC | Residential Treatment Facility, Emotionally Disturbed Children | 455 S Mesa Dr Unit 142, Mesa, AZ 85210-2711 | 2015-01-26 |
| 1255420402 | A New Leaf, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3505 E University Dr, Mesa, AZ 85213-8619 | 2006-10-12 |
| 1194269134 | Amazing G LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3030 N Saranac, Mesa, AZ 85207-1563 | 2016-12-09 |
| 1659455939 | A New Leaf, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 960 N Stapley Dr, Building 1 and 11, Mesa, AZ 85203-5604 | 2006-10-24 |
| 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 |
| 1962022665 | New Hope of Arizona, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8710 W Watkins St, Tolleson, AZ 85353-9028 | 2020-04-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.