HOPE BEHAVIORAL HEALTH RESIDENTIAL CARE (NPI# 1063837243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063837243 |
| Entity Type | Organization |
| Organization Name | HOPE BEHAVIORAL HEALTH RESIDENTIAL CARE |
| Practice Address |
22981 W Hopi St Buckeye AZ 85326-8614 |
| Mailing Address |
16181 W Madison St Goodyear AZ 85338-2898 |
| Practice Telephone | 6235472243 |
| Practice Fax Number | 6235472243 |
| Mailing Telephone | 6239258606 |
| Mailing Fax Number | 6239258606 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |
| Authorized Official Name | CHRISTOPHER ODETOYE (OWNER) |
| Authorized Official Telephone | 6239258606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
BH4441 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561176 | Hope Behavioral Health Residential Care | Assisted Living Facility | 17547 W Desert Bloom St, Goodyear, AZ 85338-4713 | 2019-04-23 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| Street Address |
22981 W HOPI ST |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85326-8614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609225 | Dawn Vetro | Social Worker | 26428 Mc 85, Buckeye, AZ 85326 | 2020-05-06 |
| 1952959942 | Nicole Garcia | Physical Therapy Assistant | 19818 Mc 85, Buckeye, AZ 85326 | 2019-09-03 |
| 1790269256 | Pathbuilders Counseling Services, Inc | Marriage & Family Therapist | 1300 N. Miller Road, Buckeye, AZ 85326 | 2018-09-20 |
| 1912422924 | City of Buckeye | Emergency Medical Technician, Paramedic | 21699 W. Yuma Rd., Ste. 101, Buckeye, AZ 85326 | 2017-08-10 |
| 1548785884 | Az Comfort Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23832 W Tonto Street, Buckeye, AZ 85326 | 2017-08-08 |
| 1992227300 | Elias Linn IIi | Pharmacist | 1060 S. Watson Rd, Buckeye, AZ 85326 | 2017-07-07 |
| 1568903490 | Nicole Johnson | Nurse Practitioner | 26700 Az-85, Buckeye, AZ 85326 | 2017-03-10 |
| 1235675950 | Michael Coronado | Specialist/Technologist | 19584 W Lincoln St, Buckeye, AZ 85326 | 2017-01-19 |
| 1578914354 | Thrive Home Health Care LLC | Health Maintenance Organization | 25581 W. Pleasant Ln., Buckeye, AZ 85326 | 2016-06-23 |
| 1992187124 | Anita Morgan | Social Worker | 389 S 228th Lane, Buckeye, AZ 85326 | 2015-06-24 |
| Find all providers in zip 85326 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174758254 | Gina Touch Mercer | Psychologist | 2665 W Wayne Ln, Anthem, AZ 85086-4915 | 2009-05-19 |
| 1952443467 | Cornerstone Christian Counseling | Psychologist | 7660 E Broadway Blvd, Suite 207, Tucson, AZ 85710-3774 | 2007-02-12 |
| 1447327754 | Andres Kerns | Psychologist | 7090 N Oracle Rd, Suite 178-175, Tucson, AZ 85704-4333 | 2006-11-29 |
| 1396256251 | Dev Ashish | Psychologist | 3045 N 1st Ave Ste A, Tucson, AZ 85719-2560 | 2017-10-18 |
| 1689114878 | Arizona Psychology and Wellness Plc | Psychologist | 9855 S Priest Dr Ste 102, Tempe, AZ 85284-3605 | 2017-03-07 |
| 1922306604 | Julia Ann Lesselyong | Psychologist | 125 N 2nd St, Suite 110 #532, Phoenix, AZ 85004-2422 | 2011-03-04 |
| 1952546863 | Kim L Johnson Phd LLC | Psychologist | 1930 S Alma School Rd, Suite #b-214, Mesa, AZ 85210-3064 | 2008-12-05 |
| 1518179282 | Eugene E. Campbell | Psychologist | 7660 E Broadway Blvd, Suite 207, Tucson, AZ 85710-3774 | 2007-05-04 |
| 1609906932 | Arizona Neuropsychology PC | Psychologist | 9832 N Hayden Rd, Suite 106, Scottsdale, AZ 85258-1298 | 2007-03-06 |
| 1992794507 | Barbara Pietsch Lanyon | Psychologist | 7432 E Camelback Rd, Scottsdale, AZ 85251-3509 | 2005-10-17 |
| 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.