Santiago Home
Community Based Residential Treatment Facility, Mental Illness

Address: 1619 E Chanute Pass, Phoenix, AZ 85040-3340
Phone: 4802328600

Santiago Home (NPI# 1265036891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265036891
Entity Type Organization
Organization Name SANTIAGO HOME
Practice Address 1619 E Chanute Pass
Phoenix
AZ 85040-3340
Practice Telephone 4802328600
Practice Fax Number 4804441452
Mailing Address 1619 E Chanute Pass
Phoenix
AZ 85040-3340
Mailing Telephone 4802328600
Mailing Fax Number 4804441452
Authorized Official Name Kayla Sol (CEO)
Authorized Official Telephone 4802328600
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name HEALING HUMAN SERVICES LLC
Enumeration Date 2020-11-24
Last Update Date 2020-11-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Healing Human Services LLC dba Santiago Home Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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1962008276 Bbc Scottsdale LLC Community Based Residential Treatment Facility, Mental Illness 3338 W Kings Ave, Phoenix, AZ 85053-2940 2020-12-10
1154926541 Azbh Services LLC Community Based Residential Treatment Facility, Mental Illness 5224 S 22nd Way, Phoenix, AZ 85040-3401 2020-12-02
1437754850 Ascend Behavioral Health and Wellness,llc Community Based Residential Treatment Facility, Mental Illness 3418 W Little Hopi Dr, Phoenix, AZ 85086-2272 2020-12-02
1326640723 Best Care Behavioral Homes LLC Community Based Residential Treatment Facility, Mental Illness 1837 W Pecan Rd, Phoenix, AZ 85041-4603 2020-11-10
1235736018 Happy Valley Community Services LLC Community Based Residential Treatment Facility, Mental Illness 1106 E Cochise Dr, Phoenix, AZ 85020-1550 2020-10-05
1639782956 Ascend Behavioral Health and Wellness,llc Community Based Residential Treatment Facility, Mental Illness 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 2020-08-26
1588281604 Alliance Behavioral Care LLC Community Based Residential Treatment Facility, Mental Illness 1402 E Hoover Ave, Phoenix, AZ 85006-1737 2020-07-06
1891312542 Semper Fidelis Behavioral Health Care, LLC Community Based Residential Treatment Facility, Mental Illness 8020 N 17th Dr, Phoenix, AZ 85021-5217 2020-06-29
1174143846 Alpine Villa LLC Community Based Residential Treatment Facility, Mental Illness 14414 N 29th St, Phoenix, AZ 85032-5004 2020-04-22
1346860657 Semper Fidelis Behavioral Health & Counseling, LLC Community Based Residential Treatment Facility, Mental Illness 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 2020-04-16
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Office Location

Street Address 1619 E CHANUTE PASS
City PHOENIX
State AZ
Zip Code 85040-3340

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Competitor

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City PHOENIX
Zip Code 85040

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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.