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).
| 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 |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZDHS | BH6562 | Other |
| Street Address | 3424 E CORONADO RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| 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 |
|---|---|---|---|---|
| 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 | |
| 1144817214 | House of Love Residential Facility LLC | 4138 E Nighthawk Way, Phoenix, AZ 85048-0556 | 2020-12-23 | |
| 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 | |
| Find all providers in PHOENIX | ||||
| City | PHOENIX |
| Zip Code | 85008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124301130 | Melissa Rhea Bates | Midwife | 24906 Cactus Sage Trl, Katy, TX 77494-3038 | 2011-09-26 |
| 1073909321 | Ernest N. Johnson, Dds, PC · West Cactus Dental | Special Hospital | 2933 W Cactus Rd, Phoenix, AZ 85029-2346 | 2015-04-14 |
| 1902081359 | Ernest N. Johnson, Dds, PC · West Cactus Dental | Clinic/Center · Dental | 2933 W Cactus Rd, Phoenix, AZ 85029-2346 | 2008-01-04 |
| 1164903092 | Cactus Nazarene Health Center | Clinic/Center · Primary Care | 200 Palo Duro, Cactus, TX 79013-0990 | 2018-08-28 |
| 1376708628 | Bernard M. Florento, Dds, Pllc · Cactus Dental Center | Dentist · General Practice | 4323 W Cactus Rd, Suite 17, Glendale, AZ 85304-2340 | 2008-07-25 |
| 1578987699 | Cactus Dental Care LLC | Clinic/Center · Dental | 7440 W Cactus Rd Ste A18, Peoria, AZ 85381-9534 | 2014-02-10 |
| 1962525618 | Cactus Family Dentistry | Dentist · General Practice | 3440 W Cactus Rd, Phoenix, AZ 85029-2238 | 2007-04-09 |
| 1578022018 | Cactus Dental, LLC | Clinic/Center · Dental | 7440 W Cactus Rd Ste A18, Peoria, AZ 85381-9534 | 2019-03-14 |
| 1013097203 | Cactus Chiropractic LLC | Chiropractor | 7440 W Cactus Rd, A19, Peoria, AZ 85381-9535 | 2006-10-16 |
| 1518158013 | Victor A. Sage, Dc P.C. · Sage Clinic | Chiropractor | 2002 Sproul Rd, Suite 204, Broomall, PA 19008-3510 | 2007-08-08 |
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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.