CACTUS SAGE LLC
Community Based Residential Treatment Facility, Mental Illness

Address: 3424 E Coronado Rd, Phoenix, AZ 85008-3826

CACTUS SAGE LLC (NPI# 1902494941) 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) 1902494941
Entity Type Organization
Organization Name CACTUS SAGE LLC
Practice Address 3424 E Coronado Rd
Phoenix
AZ 85008-3826
Practice Telephone 6232251240
Mailing Address 3848 E Pollack St
Phoenix
AZ 85042-6207
Mailing Telephone 6232251240
Certification Date 2021-01-05
Enumeration Date 2021-01-05
Last Update Date 2021-01-05
Authorized Official Telephone 6232251240
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AZ AZDHS BH6562 Other

Office Location

Street Address 3424 E CORONADO RD
City PHOENIX
State AZ
Zip Code 85008-3826

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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

NPI Name Taxonomy Address Enumeration
1093306409 Joint Healing Operations Alpha House LLC 31 E Vernon Ave, Phoenix, AZ 85004-1338 2021-01-28
1912594748 Empire Health Groups 2142 E Aire Libre Ave, Phoenix, AZ 85022-2993 2020-12-28
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1437746724 Rugabirwa Heri Ruhorimbere 2840 W Lamar Rd, Phoenix, AZ 85017-1263 2020-12-21
1427645779 Falcons Care LLC 2205 W Dunbar Dr, Phoenix, AZ 85041-6699 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
1437754850 Ascend Behavioral Health and Wellness,Llc 3418 W Little Hopi Dr, Phoenix, AZ 85086-2272 2020-12-02
1265036891 Santiago Home 1619 E Chanute Pass, Phoenix, AZ 85040-3340 2020-11-24
1326640723 Best Care Behavioral Homes LLC 1837 W Pecan Rd, Phoenix, AZ 85041-4603 2020-11-10
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Competitor

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City PHOENIX
Zip Code 85008

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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.