Santiago Home (NPI# 1265036891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Healing Human Services LLC dba Santiago Home | Doing Business As Name - Organization |
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in PHOENIX | ||||
| Street Address |
1619 E CHANUTE PASS |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
| 1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
Please provide details on Santiago Home by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| 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.