OPTIMUM CARE OF ARIZONA LLC


Address: 717 E Harwell Rd, Phoenix, AZ 85042-6655
Phone: 7026650228

OPTIMUM CARE OF ARIZONA LLC (NPI# 1033748009) 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) 1033748009
Entity Type Organization
Organization Name OPTIMUM CARE OF ARIZONA LLC
Practice Address 717 E Harwell Rd
Phoenix
AZ 85042-6655
Practice Telephone 7026650228
Mailing Telephone 7026650228
Enumeration Date 2020-04-02
Last Update Date 2020-04-02
Authorized Official Name ROBERT FAIRLEY JR. (OWNER)
Authorized Official Telephone 7026650228
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 717 E HARWELL RD
City PHOENIX
State AZ
Zip Code 85042-6655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124649777 Divine Changing Hands Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 717 E Harwell Rd, Phoenix, AZ 85042-6655 2020-05-05

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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
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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
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
1548889793 Shea Home LLC Community Based Residential Treatment Facility, Mental Illness 10435 N 40th St, Phoenix, AZ 85028-4043 2020-04-08
1699394858 Acome Home LLC Community Based Residential Treatment Facility, Mental Illness 4509 E Acoma Dr, Phoenix, AZ 85032-4855 2020-04-08
1043846561 Happy Haven Az LLC Community Based Residential Treatment Facility, Mental Illness 1110 W Hadley St, Phoenix, AZ 85007-3610 2020-03-16
1942835806 Mercy Favor and Grace Social Services Community Based Residential Treatment Facility, Mental Illness 9431 W Sheridan St, Phoenix, AZ 85037-4435 2020-03-10
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Competitor

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City PHOENIX
Zip Code 85042

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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.

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