ARIZONA HOMES OF MIRACLES LLC (NPI# 1053905208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053905208 |
| Entity Type | Organization |
| Organization Name | ARIZONA HOMES OF MIRACLES LLC |
| Practice Address | 3205 S 63rd Ln Phoenix AZ 85043-1958 |
| Practice Telephone | 6234402377 |
| Mailing Address | 3205 S 63rd Ln Phoenix AZ 85043-1958 |
| Certification Date | 2021-02-26 |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |
| Authorized Official Telephone | 6123060639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address | 3205 S 63RD LN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85043-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
| 1962936112 | Christine B Santa Cruz | Specialist/Technologist · Speech-Language Assistant | 8101 W. Hammond Ln., Phoenix, AZ 85043 | 2017-04-14 |
| 1558704809 | Valley Independent Residential LLC | Community Based Residential Treatment Facility, Mental Illness | 6408 W Gross Ave, Phoenix, AZ 85043 | 2013-04-16 |
| 1275811598 | Diamond Manor Adult Care · Diamond Manor Adult Care LLC | Custodial Care Facility · Adult Care Home | 7330 W. Getty Drive, Phoenix, AZ 85043 | 2011-08-03 |
| 1821312877 | Bertha Romero | Case Manager/Care Coordinator | 7315 W Jones Ave, Phx, AZ 85043 | 2010-03-19 |
| 1619208535 | Mark Powell | Pharmacist | 4302 W Buckeye Rd, Phoenix, AZ 85043 | 2010-01-15 |
| 1477705788 | Patrick Lynn Perryman | Psychologist · School | 7250 W Buckeye Rd, Phoenix, AZ 85043 | 2008-10-17 |
| 1831387315 | American Current Care of Arizona Pa · Concentra Urgent Care | Clinic/Center · Urgent Care | 5340 West Buckeye Road, Suite 3, Phoenix, AZ 85043 | 2007-10-09 |
| 1891910246 | Sammie Trotter | Technician · Personal Care Attendant | 5025 S. 24th Ave, Phoenix, AZ 85043 | 2007-04-13 |
| 1780719617 | German Dobson Cvs, L.L.C. · Cvs Pharmacy # 01744 | Durable Medical Equipment & Medical Supplies | 6650 W. Lower Buckeye Rd, Phoenix, AZ 85043 | 2007-02-22 |
| Find all providers in zip 85043 | ||||
| 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 |
|---|---|---|---|---|
| 1922683549 | Mbabazi Homes LLC | 7010 S 19th Ln, Phoenix, AZ 85041-6654 | 2021-03-15 | |
| 1295328110 | Evergreen Home Care, LLC | 2529 W Darrel Rd, Phoenix, AZ 85041-6457 | 2021-02-11 | |
| 1093306409 | Joint Healing Operations Alpha House LLC | 31 E Vernon Ave, Phoenix, AZ 85004-1338 | 2021-01-28 | |
| 1902494941 | Cactus Sage LLC | 3424 E Coronado Rd, Phoenix, AZ 85008-3826 | 2021-01-05 | |
| 1912594748 | Empire Health Groups | 2142 E Aire Libre Ave, Phoenix, AZ 85022-2993 | 2020-12-28 | |
| 1144817214 | House of Love Residential Facility LLC | 4138 E Nighthawk Way, Phoenix, AZ 85048-0556 | 2020-12-23 | |
| 1427645779 | Falcons Care LLC | 2205 W Dunbar Dr, Phoenix, AZ 85041-6699 | 2020-12-21 | |
| 1437746724 | Rugabirwa Heri Ruhorimbere | 2840 W Lamar Rd, Phoenix, AZ 85017-1263 | 2020-12-21 | |
| 1346836426 | House of Love & Peace LLC | 9131 W Minnezona Ave, Phoenix, AZ 85037-2446 | 2020-12-14 | |
| 1154926541 | Azbh Services LLC | 5224 S 22nd Way, Phoenix, AZ 85040-3401 | 2020-12-02 | |
| Find all providers in PHOENIX | ||||
| City | PHOENIX |
| Zip Code | 85043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992294151 | Miracles and Mane · Miracles and Mane Incorporated | Durable Medical Equipment & Medical Supplies | 4524 S W S Young Dr Ste 102, Killeen, TX 76542-5888 | 2018-05-03 |
| 1508182130 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 230 E Frances Ln, Gilbert, AZ 85295-1975 | 2010-04-07 |
| 1659719995 | Arizona Behavioral Care Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 560 N 159th Ln, Goodyear, AZ 85338-3276 | 2013-06-10 |
| 1275971632 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 560 N 159th Ln, Goodyear, AZ 85338-3276 | 2013-06-07 |
| 1427523075 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 434 E Minton Dr, Tempe, AZ 85282-6954 | 2018-10-10 |
| 1114492766 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 613 W Devon Ct, Gilbert, AZ 85233-8029 | 2018-10-10 |
| 1265825418 | Arizona Behavioral Care Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 16781 W Hilton Ave, Goodyear, AZ 85338-7402 | 2015-03-12 |
| 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 |
| 1598034563 | Arizona Behavioral Care Homes, LLC | Community Based Residential Treatment Facility, Mental Illness | 1469 E Ivanhoe St, Gilbert, AZ 85295-4934 | 2011-12-21 |
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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.