SEEDS OF GAIA LLC (NPI# 1063802205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063802205 |
| Entity Type | Organization |
| Organization Name | SEEDS OF GAIA LLC |
| Practice Address |
455 S Mesa Dr Unit 142 Mesa AZ 85210-2711 |
| Mailing Address |
Po Box 4252 Mesa AZ 85211-4252 |
| Practice Telephone | 4802770313 |
| Mailing Telephone | 4802770313 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | MR. MOISE KELLY (PRESIDENT) |
| Authorized Official Telephone | 4802770313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | L-1744233-1 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568853752 | Seeds of Gaia LLC | Local Education Agency (LEA) | 455 S Mesa Dr Unit 142, Mesa, AZ 85210-2711 | 2015-02-10 |
| Street Address |
455 S MESA DR UNIT 142 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215597943 | Dash Transport Services LLC | Secured Medical Transport (VAN) | 455 S Mesa Dr Unit 142, Mesa, AZ 85210-2711 | 2019-06-14 |
| 1568853752 | Seeds of Gaia LLC | Local Education Agency (LEA) | 455 S Mesa Dr Unit 142, Mesa, AZ 85210-2711 | 2015-02-10 |
| 1447640958 | Moise Kelly | Counselor | 455 S Mesa Dr Unit 142, Mesa, AZ 85210-2711 | 2015-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144740572 | Tree of Life Arizona LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2935 E Dartmouth St, Mesa, AZ 85213-6907 | 2017-06-27 |
| 1568855492 | New Horizon Youth Homes, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1102 W Dixon St, Mesa, AZ 85201-4725 | 2015-03-17 |
| 1255420402 | A New Leaf, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3505 E University Dr, Mesa, AZ 85213-8619 | 2006-10-12 |
| 1194269134 | Amazing G LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3030 N Saranac, Mesa, AZ 85207-1563 | 2016-12-09 |
| 1891193256 | Tree of Life Arizona LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1659 E Draper Cir, Mesa, AZ 85203-6628 | 2014-12-16 |
| 1659455939 | A New Leaf, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 960 N Stapley Dr, Building 1 and 11, Mesa, AZ 85203-5604 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666039 | Rehoboth LLC | Residential Treatment Facility, Emotionally Disturbed Children | 46136 W Mountain View Rd # A, Maricopa, AZ 85139-6796 | 2020-10-16 |
| 1962022665 | New Hope of Arizona, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8710 W Watkins St, Tolleson, AZ 85353-9028 | 2020-04-22 |
| 1639798143 | Anthony Udoinwang | Residential Treatment Facility, Emotionally Disturbed Children | 10435 W Reade Ave, Glendale, AZ 85307-4237 | 2020-04-14 |
| 1033756358 | Native Music Coalition | Residential Treatment Facility, Emotionally Disturbed Children | 5150 S Crazy Cat Ln, Tucson, AZ 85735 | 2019-12-05 |
| 1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
| 1487118865 | Serenity Preferred LLC | Residential Treatment Facility, Emotionally Disturbed Children | 17829 W Columbine Dr, Surprise, AZ 85388-5628 | 2019-01-30 |
| 1407333958 | Copa's Caring Hands LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 42251 W Bravo Dr, Maricopa, AZ 85138-2295 | 2018-07-26 |
| 1538668983 | Starks Homes LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7325 E Fayette St, Tucson, AZ 85730-2324 | 2018-02-12 |
| 1881100147 | Anna Marie Barrios | Residential Treatment Facility, Emotionally Disturbed Children | 18811 N 7th Dr, Phoenix, AZ 85027-5508 | 2017-12-22 |
| 1033625926 | Youth Transition Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1190 S Boulder St Unit D, Gilbert, AZ 85296-3792 | 2017-12-14 |
| Find all providers with the same taxonomy | ||||
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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.