BRETT CALABRO'S HOME


Address: 4002 W Sharon Ave, Phoenix, AZ 85029-1044
Phone: 6023571781

BRETT CALABRO'S HOME (NPI# 1902034424) 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) 1902034424
Entity Type Organization
Organization Name BRETT CALABRO'S HOME
Practice Address 4002 W Sharon Ave
Phoenix
AZ 85029-1044
Practice Telephone 6023571781
Mailing Telephone 6023571781
Enumeration Date 2009-06-23
Last Update Date 2010-12-15
Authorized Official Name MRS. BRETT A CALABRO (ADMINISTRATOR)
Authorized Official Telephone 6023571781
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
BH3258 AZ Nursing & Custodial Care Facilities

Office Location

Street Address 4002 W SHARON AVE
City PHOENIX
State AZ
Zip Code 85029-1044

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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]

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1811526148 Phoenix Comfort Homes LLC Assisted Living Facility 17643 N 17th St, Phoenix, AZ 85022-2113 2020-04-07
1225697386 Alpine Villa LLC Assisted Living Facility 2144 W Luke Ave, Phoenix, AZ 85015-2319 2019-06-11
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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
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 85029

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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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